Totus Tuus Online Registration

All programs held at the Goldsmith Religious Education Center
(the old Notre Dame School building)
22 S. Prairie St
Chippewa Falls

Children entering grades 1-6
July 22-26, 2019
9am-2:30pm

Children entering grades 7-8
July 21-25, 2019
7pm-9pm

Children entering grades 9-12
July 21-25, 2019
7pm-9pm

You can make one payment for all your children by using the Buy Now button at the bottom of this page.

* Indicates required field

Child 1 *

First

Last

Grade Entering *

Child 2 *

First

Last

Grade Entering *

Child 3 *

First

Last

Grade Entering *

Child 4 *

First

Last

Grade Entering *

Child 5 *

First

Last

Grade Entering *

Child 6 *

First

Last

Grade Entering *

Parent Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Email *

Primary Emergency Contact *

First

Last

Relationship to Child *

Phone Number *

Secondary Emergency Contact *

First

Last

Relationship to Child *

Phone Number *

Home Parish *

Please list any allergies and/or other medical conditions along with child's name (if registering more than one child) *

Submit

Clicking Submit completes your registration for this child. Please also click the Buy Now button if you wish to pay online. If you prefer to pay by check, place make it payable to Chippewa Falls Deanery and mail it to

Deanery Youth Ministry Coordinator
412 S. Main St
Chippewa Falls, WI 54729