Totus Tuus Registration 2024

TOTUS TUUS AT ST. ROSE OF LIMA

PARISH REGISTRATION FORM

JUNE 9-14, 2024

K-6th Grades: June 10-14, 9am - 3pm

7th-12th Grades: June 9-13, 7:30-9pm

ADDITIONAL EMERGENCY CONTACT INFORMATON:  Name and phone number of an adult to reach in case of emergency in the event that you cannot be reached at the numbers above.

MEDICAL AUTHORIZATION:  I understand that St. Rose of Lima, the Catholic Diocese of Cheyenne, and Totus Tuus assume no responsibility for accidents which may occur in association with diocesan events and activities.  I agree to use my/our personal insurance to cover any such incidents.  I understand that, in the event medical intervention is needed, every attempt will be made to contact the persons listed above.  In the event those individuals cannot be reached, I/we hereby give permission to the physician or any other qualified medical staff selected by the event leader to hospitalize, secure medical treatment, and/or order injection, anesthesia, or surgery for participant as deemed necessary.

PERMISSION FOR OTHER MEDICAL MATTERS:

In the event it comes to the attention of the Diocesan and/or parish chaperones that my child complains of illness, I grant permission for non-prescription medication (such as Tylenol, lozenges, etc.) to be given to Participant.

RELEASE OF LIABILITY FOR YOUTH AND ADULTS:  I understand all reasonable safety precautions will be taken at all times by St. Rose of Lima, the Catholic Diocese of Cheyenne, and Totus Tuus and its employees and agents during the events and activities.  I understand the possibility of unforeseen hazards and know the inherent possibility of risk.  I agree to indemnify and hold harmless St. Rose of Lima, the Catholic Diocese of Cheyenne and Totus Tuus, its leaders, employees, and volunteer staff from any and all claims arising from or in connection with attending this event.

CODE OF BEHAVIOR FOR YOUTH AND ADULTS:  I agree to abide by and/or instruct my child to abide by all rules and regulations as outlined by the aforementioned chaperones/representatives.  I agree that if I/Participant fail(s) to abide in any way by the rules, that I/Participant can be dismissed from the event and sent home immediately at my/Participant's expense with no right of reimbursement or refund for any amount in connection therewith from St. Rose of Lima and the Catholic Diocese of Cheyenne or its chaperones/representatives.

PHOTO RELEASE

I hereby authorize St. Rose of Lima, the Catholic Diocese of Cheyenne, and Totus Tuus and its agents to utilitze photographic and/or video images of me or my child by the Catholic Diocese of Cheyenne.  In giving my consent, I hereby indemnify and hold harmless St. Rose of Lima, the Catholic Deocese of Cheyenne, and Totus Tuus and its agents from any and all responsibility of liability.  I understand that I will receive no compensation should any photography and/or video of me or my child be used.

REGISTRATION FEE:

Totus Tuus is a $1,750 program that has been generously donated by anonymous donors.  The four young adults who come to teach do so on very little income.  For this reason, along with paper products and supply costs, we are asking a registration fee of $10 per child.  If this is not something you are able to do, there have been separate funds set aside this ths purpose.

I am able to pay my registration fee of $10 per child.  

Please make your check out to: St. Rose of Lima   Memo: Totus Tuus Registration Fee

Registration forms and payment may be given to the Religious Education Office, Parish Office, or mailed to:

St. Rose of Lima

605 E 22nd Ave

Torrington, WY  82240

ADDITIONAL SUPPORT:  Totus Tuus provides the curriculum, but we will need volunteer help and food donations.  Signups will be sent out.  Please check the following that you are interested/able to help with.

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