Totus Tuus Parish Registration Report
| Camper Name | Grade Level Fall 2023 | Parish Code | First | Last | Group # | Parish Code | Emergency Parent Contact Information | Medical Authorization Acknowledgment | Signature | Name of Medical Insurance | Code of Behavior for Youth and Adults | Camper Information | Policy # | Is there anything to be aware of? (i.e. Homesick, social issues, etc.) | Phone | Release of Liability for Youth and Adults | Parent Name | Media Release Acknowledgment | Secondary Phone | Gender | Home Parish (where registered) | First Time Camper | Does this participant have any allergies or other medical conditions we should be aware? Will the child need to take medication at camp? Does the child have any dietary restrictions? If so, please explain. | ||
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| Camper Name | Grade Level Fall 2023 | Parish Code | First | Last | Group # | Parish Code | Emergency Parent Contact Information | Medical Authorization Acknowledgment | Signature | Name of Medical Insurance | Code of Behavior for Youth and Adults | Camper Information | Policy # | Is there anything to be aware of? (i.e. Homesick, social issues, etc.) | Phone | Release of Liability for Youth and Adults | Parent Name | Media Release Acknowledgment | Secondary Phone | Gender | Home Parish (where registered) | First Time Camper | Does this participant have any allergies or other medical conditions we should be aware? Will the child need to take medication at camp? Does the child have any dietary restrictions? If so, please explain. |