Totus Tuus

Totus Tuus - June 24-28

1 Start 2 Emergency 3 Add Student Participant 4 Page 5 page 2 6 page3

Last Name *

Paren't/ Guardian name(s) *

Address *

Country *

Address 1 *

Address 2

City *

ZIP code *

Cell Phone *

Home Phone

Email *

Leave this field blank

Please email Ann Bender at

bendera@qasstl.org or call 314.380.4011 with any questions.

Please fill use the online form and medical paperwork and return to the office with Ann Bender’s name on it.

Cost is $25/child,

Max is $60/family.

Each child will receive a t-shirt!