Totus Tuus Registration Form - ICSP Catholic Communities

Totus Tuus 2026 Registration

Please enable JavaScript in your browser to complete this form.

– Step 1 of 4

/ Participation Registration

Parent / Guardian #1 Contact Information

This is the primary contact for your child(ren) for the Catholic Formation Department.

Parent / Guardian #1 Name: *

First

Last

Parent / Guardian #1 Email: *

Parent / Guardian #1 Phone Number: *

Parent / Guardian #1 Address *

Address Line 1

Address Line 2

City

State

Zip Code

Emergency Contact?

This person is the emergency contact

Parent / Guardian #2 Contact Information

Parent / Guardian #2 Name:

First

Last

Parent / Guardian #2 Email:

Parent / Guardian #2 Phone Number:

Parent / Guardian #2 Address

Address Line 1

Address Line 2

City

State

Zip Code

Emergency Contact?

This person is the emergency contact

General Information

Your Primary Church: *

Please specify your primary church *

Event Information – Totus Tuus

Description of Event: Catholic Youth Summer Camp – Totus Tuus
Date of Event: 6/21/26 – 6/26/26
Transportation Method: None
Participant cost: None
Sponsored by: Immaculate Conception Church & St. Patrick Church
Supervised by: Catholic Formation Team members and volunteers

Do any of these apply?

All of my children share the same physician and healthcare system
All of my children are on the same health insurance with matching policy number

To save time for registering children, are any of the above TRUE statements?

Shared Physician & Insurance Information

Child's Primary Physician *

First

Last

Health Insurance Carrier *

Physician Phone Number: *

Policy Number *

Health System & Location *

Shared Physician Information

Child's Primary Physician *

First

Last

Physician Phone Number: *

Health System & Location *

Shared Insurance Information

Health Insurance Carrier *

Policy Number *

Participant Registration Section

Please fill out the form below for each child that you are registering. To add another child, please click on the “Add Child” button at the bottom of the form for more child forms.

Child Registration

Shared Physician & Insurance Form

Child's Name: *

First

Last

Date of Birth: *

Gender: *

Grade Level (In Fall): *

T-Shirt Size (Color is PURPLE for 2026) *

Only available to be Purchased until April 20th. Cost of the t-shirt is $14 each, payment section will come later in this process. Purchase is NOT required.

Special Needs (Medical, Learning Disabilities, Physical Disabilities, etc.):

Do you need to submit a Medication Consent Form for this child?

If you selected “Yes”, you need to submit a Medication Consent Form. Please download the form here, fill out the form digitally and upload the completed form on the next page. Please include your child’s name within the saved form’s filename.

Participation Permission *

I consent and give my permission

I give permission for my child to participate in the above named event. My signature below indicates that I understand the risks and hazards associated with this event, including injury, illness and the rare possibility of death. I understand that I may discuss any concerns or questions I have about this event with a representative of the parish or Diocese of Superior prior to giving permission for my child to participate.

In consideration for my child’s participation, I agree to reimburse and indemnify the above named parish and the Diocese of Superior for all reasonable legal and court fees incurred by the parish/diocese in defending a lawsuit that I or my child may bring against the parish/diocese which relates to the above named event if the parish/diocese is found not legally liable by the courts and prevails in the lawsuit. If the parish/diocese is found legally liable for any injuries sustained by my child, this paragraph will not apply. I further agree to reimburse the diocese or any other agency for property damage or any bodily harm to other participants caused by my child.

Signature *

Clear Signature

Child Registration

Shared Physician Form

Child's Name: *

First

Last

Date of Birth: *

Gender: *

Grade Level (In Fall): *

T-Shirt Size (Color is PURPLE for 2026) *

Only available to be Purchased until April 20th. Cost of the t-shirt is $14 each, payment section will come later in this process. Purchase is NOT required.

Special Needs (Medical, Learning Disabilities, Physical Disabilities, etc.):

Do you need to submit a Medication Consent Form for this child?

Participation Permission *

I consent and give my permission

Health Insurance Carrier *

Policy Number *

Signature *

Clear Signature

Child Registration

Shared Insurance Form

Child's Name: *

First

Last

Date of Birth: *

Gender: *

Grade Level (In Fall): *

T-Shirt Size (Color is PURPLE for 2026) *

Only available to be Purchased until April 20th. Cost of the t-shirt is $14 each, payment section will come later in this process. Purchase is NOT required.

Special Needs (Medical, Learning Disabilities, Physical Disabilities, etc.):

Do you need to submit a Medication Consent Form for this child?

Participation Permission *

I consent and give my permission

Child's Primary Physician *

First

Last

Physician Phone Number: *

Health System & Location *

Signature *

Clear Signature

Child Registration

Full Form

Child's Name: *

First

Last

Date of Birth: *

Gender: *

Grade Level (In Fall): *

T-Shirt Size (Color is PURPLE for 2026) *

Only available to be Purchased until April 20th. Cost of the t-shirt is $14 each, payment section will come later in this process. Purchase is NOT required.

Special Needs (Medical, Learning Disabilities, Physical Disabilities, etc.):

Do you need to submit a Medication Consent Form for this child?

Participation Permission *

I consent and give my permission

Child's Primary Physician *

First

Last

Physician Phone Number: *

Health System & Location *

Health Insurance Carrier *

Policy Number *

Signature *

Clear Signature

Required Forms

Medication Form Upload

Drag & Drop Files, Choose Files to Upload You can upload up to 10 files.

Photo, Video & Likeness Policy

Effective July 1, 2025, our policy for the use of photos, video recordings, and other likenesses at all church functions has gone into effect. Please view it here.

I acknowledge that I have read through all policies and filled out the appropriate information to register the children in this submission for ICSP Catholic Formation *

Name of person acknowledging above: *

Payment Section

There is no cost for participation. If you chose to purchase a shirt for any of your children, please use the payment section below. *-The color for the 2026 shirt is purple.

Number of T-Shirts you are ordering:

Selected Value: 0

Payment Type: *

Total Cost for T-Shirts:

Price is in Dollars (USD)