Totus Tuus Evening Program Registration and Permission Form
Totus Tuus runs at Mary Mother of God Parish from July 3 to 8, 2022. THIS FORM IS FOR TEENSWHO WISH TO REGISTER FOR THE EVENING PROGRAM WITH THE TOTUS TUUS TEAM. Evening program runs from Sunday, July 3 to Thursday, July 7 from 7 pm to 9 pm. Cost is $20.00 per teen.


(i) Fill-in all applicable and required fields in the online form
(ii) If a required field (*) is not applicable, enter "N/A"
(iii) Submit the form after completion - submission will be considered as electronic signature
(iv) You will receive an email confirmation receipt with a pdf file (your responses) as an attachment
(v) You may print the completed PDF registration form or save it in electronic form for your records.
(vi) A separate media consent form must also be completed before registration is secured.

Fees:
1. Daycamp: $20 per child/ $15 per child for households enrolling more than one sibling. (Sponsorships available for families needing financial assistance. Please email Debbie Frey at youth.mmogp@bellnet.ca to inquire.)
2. Cash, cheque or E-transfer is accepted. E-transfer to mmogp@bellnet.ca. Please reference "TOTUS TUUS + the child's name' when paying by E-Transfer.

 
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Acknowledgement *
Required
Child's Full Name: *
Child's Date of Birth: *
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Child's Parish (Mary Mother of God Parishioners are given first priority. If you attend another parish, we will add you the the waitlist for attendance. We hope you understand).
Child's School:
What grade is your child entering in September 2022?
Has your child received First Communion?
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Mother/Guardian's Full Name:
Mother/Guardian's Email:
Mother/Guardian's Cell Number: *
Mother's home number:
Mother's Home Address with postal code:
Father/Guardians Full Name:
Father's address (if different from mother):
Father's Cell Number:
EMERGENCY PICK UP (Person who can be contacted to pick up child). Please list name, relationship and phone number to call in an emergency).
Please list any medical information which may be helpful for us to know during camp. All medications except inhalers must be turned into parish volunteers to be kept in a secure location. Please notify Debbie Frey about any serious conditions that require close supervision. Permission is required for an adult to administer an EpiPen. *
Pick Up Authorization: Please list the people who are authorized to pick up your camper(s).The first name you list should be the name of the person who will REGULARLY pick up your camper(s) from the TOTUS TUUS program. The second and third names are people who MAY pick up the camper(s) in an unusual or emergency situation. They will be required to show a photo id at the time.
Are you able to volunteer as an adult helper one evening during the camp?
Clear selection
I, the legal guardian for this child,  give consent for my child to participate in the Totus Tuus Program at Mary Mother of God Parish.
Today's Date:
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Tshirt Size:
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SUBMIT this form and it will be acknowledged as formal registration and signature. Please make sure you make the payment by E-transfer or Cheque to complete the registration. E-transfers to:mmogp@bellnet.ca. Please reference "Totus Tuus + child's name" when paying by E-Transfer.
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