Totus Tuus: 2025 (scroll down to register!)

Select your home parish REQUIRED Please fill out this field.

Name of Parish if selected OTHER Please enter valid data.

Household Information

Parent/Contact 1 Name REQUIRED Please fill out this field. Please enter valid data.
Phone/Contact 1 Email REQUIRED Please fill out this field. Please enter an email address.
Parent/Contact 1 Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
Parent/Contact 1 Relationship to Child(ren) REQUIRED Please fill out this field. Please enter valid data.
Address REQUIRED Please fill out this field. Please enter valid data.
City REQUIRED Please fill out this field. Please enter valid data.

State REQUIRED Please fill out this field.

Zip REQUIRED Please fill out this field. Please enter a zip code.
Parent/Contact 2 Name Please enter valid data.
Phone/Contact 2 Email Please enter an email address.

Number of Child(ren) 1st-6th

Number of Child(ren) 7th-12th

Select contact for In Case of Emergency REQUIRED Please fill out this field.

Contact info for In Case of Emergency Contact

MEDIA RELEASE STATEMENT
I hereby authorize the Archdiocese of Dubuque, the host parish(es), and their agents to utilize photographic and/or video images of me or my children. In giving my consent, I hereby indemnify and hold harmless the Archdiocese of Dubuque, the host parish(es), and their agents from any and all responsibility of liability. I understand that I will receive no compensation should any photograph and/or video of my child or me be used.

Media Release Agreement (One Response for ALL children registered) REQUIRED I agree I do not agree Please fill out this field.

Authorizer's Name REQUIRED Please fill out this field. Please enter valid data.

Date REQUIRED Please fill out this field. Please enter a date.

Program Fees: REQUIRED Please fill out this field.

Additional Information:

Please bring your own lunch. Daily snacks provided, please bring your own snack if your child has any dietary restrictions.
Cost is $45 per kid ($90 family max) for the daytime program, and $25 per kid ($50 family max) for the evening program.
Please consider volunteering your time and talents please email Annie Zeets, adbqwcym@dbqarch.org. Volunteers are essential in making the program run smoothly!

Waterloo Catholics

Totus Tuus: 2025 (scroll down to register!)

What is Totus Tuus?

When/Where/Who/Cost

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