Totus Tuus Online Registration

Please completely fill out one online form for each student by Monday, June 18.

You can make one payment for all your children by using the Buy Now button at the bottom of this page. Early bird pricing ends on Monday, June 11.

* Indicates required field

Please select an age group and time *

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 *

Child's Name *

First

Last

Home Parish *

Date of Birth (mm/dd/yy) *

Last School Grade Completed *

Please list any allergies and/or other medical conditions. *

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