A full week-long evening camp (June 17-21 from 7:00pm - 9:00pm) on the St. Thomas Aquinas campus. Missionaries from the Totus Tuus program come to run a camp for all incoming 7th-9th graders. Space is limited to the first 75 registrants and registration is officially complete after submitting the form below AND submitting payment to the office.

Pick up and drop off is at St. Clare Hall. Please send your child with a water bottle.

Parent Information

Parish You Are Registered With

Parent Name

First Name

Last Name

Parent Phone

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Parent Email

Home Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Middle Schoolers

Middle School Participant(s) Name / Age / Grade (in the Fall) / T-Shirt Size / Medications or Allergies

Emergency Contact

Emergency Contact Name

First Name

Last Name

Emergency Contact Relationship

Emergency Contact Number

(###)

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Name of Family Physician

Physician Number

(###)

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Name of Insurance Company

Waiver

o Medical Authorization: I understand that the Catholic Arch/Diocese of Phoenix and Totus Tuus assume no responsibility for accidents which may occur in association with diocesan events and activities. I agree to use my/our personal insurance to cover any such incidents. I understand that, in the event medical intervention is needed, every attempt will be made to contact the persons listed above. In the event those individuals cannot be reached, I/We hereby give permission to the physician or any other qualified medical staff selected by the event leader to hospitalize, secure medical treatment, and/or order injection, anesthesia, or surgery for Participant as deemed necessary. o Permission for Other Medical Matters: YES, in the event it comes to the attention of the Diocesan and/or parish chaperones that my child complains of illness, I grant permission for non-prescription medication (such as Tylenol, lozenges, etc.) to be given to Participant. o Release of Liability for Youth and Adults: I understand all reasonable safety precautions will be taken at all times by the Catholic Arch/Diocese of Phoenix and Totus Tuus and its employees and agents during the events and activities. I understand the possibility of unforeseen hazards and know the inherent possibility of risk. I agree to indemnify and hold harmless the Catholic Arch/Diocese of Phoenix and Totus Tuus, its leaders, employees and volunteer staff from any and all claims arising from or in connection with attending this event. o Code of Behavior for Youth and Adults: I agree to abide by and/or instruct my child to abide by all rules and regulations as outlined by the aforementioned chaperones/ representatives. I agree that if I/Participant fail(s) to abide in any way by the rules, that I/Participant can be dismissed from the event and sent home immediately at my/Participant’s expense with no right of reimbursement or refund for any amount in connection therewith from the Catholic Arch/Diocese of Phoenix or its chaperones/representatives. o Photo release: YES, I hereby authorize the Catholic Arch/Diocese of Phoenix and Totus Tuus and its agents to utilize photographic and/or video images of me or my child by the Catholic Arch/Diocese of Phoenix. In giving my consent, I hereby indemnify and hold harmless the Catholic Arch/Diocese of Phoenix and Totus Tuus and its agents from any and all responsibility of liability. I understand that I will receive no compensation should any photograph and/or video of me or my child be used.

"I represent and certify that I, as parent/guardian of the child(ren) named above, have read the entirety of this agreement and fully understand the contents, consequences, and implications of signing this agreement and that I agree to be bound by this agreement.