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2nd Annual Trunk or Treat
Wurstmarkt 26
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Eighth Grade Confirmation April 24
Totus Tuus Registration
Faith - Friends - Fun
Day Sessions: July 5-10 8:45am-2:30pm Daily
Grades 1-6, entering Fall 26
Bring a Sack Lunch each day!
Evening Sessions: July 5-10 6:30pm-8:45pm Daily
Grades 7-12, entering Fall 26
Dinner Provided
*
Indicates required field
Participant
*
First
Last
Gender
*
Male
Female
Grade Level (entering fall 26)
*
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Freshman
Sophomore
Junior
Senior
Parish
*
Does this participant have any allergies or other medical conditions we should be aware of? Will the child need to take medication at camp? Does the child have any dietary restrictions?
*
Emergency Parent Contact Information
Name
*
First
Last
Email
*
Phone Number
*
Secondary Phone Number
*
Name of Medical Insurance
*
Policy #
*
Group #
*
Medical Authorization Acknowledgment
*
I have read and consent to the following release and I fully understand the contents, meaning, and impact of this release. I understand that the Diocese of Belleville in Illinois and its employees and agents and Totus Tuus and its employees and agents 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.
Permission for Other Medical Matters Adults
*
I have read and consent to the following release and I fully understand the contents, meaning, and impact of this release In the event it comes to the attention of the Diocesan and/or parish chaperones that my child(ren) complain(s) of illness, I grant permission for non-prescription medication (such as Tylenol, lozenges, etc.) to be given to the Participant.
Release of Liability for Youth and Adults
*
I have read and consent to the following release and I fully understand the contents, meaning, and impact of this release I understand all reasonable safety precautions will be taken at all times by the Diocese of Belleville in Illinois and its agents 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 Diocese of Belleville in Illinois and Totus Tuus, its leaders, employees and volunteer staff from any and all claims arising from or in connection with attending this event.
Code of Behavior for Youth and Adults
*
I have read and consent to the following release and I fully understand the contents, meaning, and impact of this release I agree to abide by and/or instruct my child(ren) who will be participating in Totus Tuus 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 Diocese Belleville in Illinois and its agents, or its chaperones/representatives.
Media Release Acknowledgement
*
I hereby grant the Diocese of Belleville in Illinois permission to use my likeness in a photograph, or any filmed, video, or taped media, in any and all of its publications, including website entries, without payment or any other consideration. I understand and agree that these materials will become the property of the Diocese of Belleville in Illinois and its agents and will not be returned. I hereby irrevocably authorize the Diocese of Belleville in Illinois and its agents to edit, alter, copy, exhibit, publish or distribute this photo or any filmed, video, or taped media for purposes of publicizing the Diocese of Belleville in Illinois’ and its agents programs or for any other lawful purpose. In addition, I waive the right to inspect or approve the finished product, including written or electronic copy, wherein my likeness appears. Additionally, I waive any right to royalties or other compensation arising or related to the use of the photograph or other media. I hereby hold harmless and release and forever discharge the Diocese of Belleville in Illinois and its agents from all claims, demands, and causes of action which I, my heirs, representatives, executors, administrators, or any other persons acting on my behalf or on behalf of my estate have or may have by reason of this authorization. I am at least 18 year of age and am competent to contract in my own name.
No
Digital Signature
*
Participant Registration Fee
*
1 Child ($30)
2 Children ($60)
3 Children or more Family Rate ($75)
Fee Waiver Requested ($0)
Submit
Totus Tuus Volunteers
(Replaces VBS)
Daytime: Adults and Students in grade 7 and up (grade entering in Fall 2026)
Evening: Adults
Daytime: July 5-10 8:45am t0 2:30pm Daily
Youth Volunteers will help as teacher assistants throughout the day.
Adult Volunteers will help with check-in, snacks and lunch time or may help as teacher assistants as needed.
*Volunteers 18 and over must be compliant with the Diocesan Child Protection Policy, including online trainings and background checks
Volunteers will need to bring a sack lunch daily.
Evening: July 5-10 6:30pm to 8:45pm Daily
Adult Volunteers are needed to assist with daily evening activities. All volunteers must be compliant with the Diocesan Child Protection Policy, including online trainings and background checks.
*
Indicates required field
First Name
*
Last Name
*
Adult or Grade Level Fall 26
*
Adult
7th Grade
8th Grade
Freshman
Sophomore
Junior
Senior
Birthdate
*
Parish
*
I would like to volunteer for...
*
Day Session
Evening Session
Day and/or Evening Session
Email
*
Phone Number
*
Permission for Other Medical Matters Adults
*
I have read and consent to the following release and I fully understand the contents, meaning, and impact of this release. In the event it comes to the attention of the Diocesan and/or parish chaperones that my child(ren) complain(s) of illness, I grant permission for non-prescription medication (such as Tylenol, lozenges, etc.) to be given to the Participant.
Release of Liability for Youth and Adults
*
I have read and consent to the following release and I fully understand the contents, meaning, and impact of this release This field is required I understand all reasonable safety precautions will be taken at all times by the Diocese of Springfield in Illinois and its agents, the Diocese of Belleville and its agents, 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 Diocese of Springfield in Illinois and its agents, the Diocese of Belleville and its agents, and Totus Tuus, its leaders, employees and volunteer staff from any and all claims arising from or in connection with attending this event.
Code of Conduct for Youth and Adults
*
I have read and consent to the following release and I fully understand the contents, meaning, and impact of this release This field is required I understand all reasonable safety precautions will be taken at all times by the Diocese of Springfield in Illinois and its agents, the Diocese of Belleville and its agents, 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 Diocese of Springfield in Illinois and its agents, the Diocese of Belleville and its agents, and Totus Tuus, its leaders, employees and volunteer staff from any and all claims arising from or in connection with attending this event.
Media Release Acknowledgement
*
I hereby grant the Diocese of Springfield in Illinois and the Diocese of Belleville permission to use my likeness in a photograph, or any filmed, video, or taped media, in any and all of its publications, including website entries, without payment or any other consideration. I understand and agree that these materials will become the property of the Diocese of Springfield in Illinois and its agents and the Diocese of Belleville and its agents and will not be returned. I hereby irrevocably authorize the Diocese of Springfield in Illinois and its agents and the Diocese of Belleville and its agents to edit, alter, copy, exhibit, publish or distribute this photo or any filmed, video, or taped media for purposes of publicizing the Diocese of Springfield in Illinois’ and its agents and the Diocese of Belleville and its agents programs or for any other lawful purpose. In addition, I waive the right to inspect or approve the finished product, including written or electronic copy, wherein my likeness appears. Additionally, I waive any right to royalties or other compensation arising or related to the use of the photograph or other media. I hereby hold harmless and release and forever discharge the Diocese of Springfield in Illinois and its agents and the Diocese of Belleville and its agents from all claims, demands, and causes of action which I, my heirs, representatives, executors, administrators, or any other persons acting on my behalf or on behalf of my estate have or may have by reason of this authorization. I am at least 18 year of age and am competent to contract in my own name.
Yes
No
Digital Signature
*
Submit
Home
About Us
Parish History
>
Fr. Seyer O Holy Night
Worship Opportunities
Parish Calendar
Get Involved
Parish Leadership
Care Ministry
Liturgical Ministry
Music Ministry
Holy Name Society
>
HNS News
Knights of Columbus
Mary & Martha Society
Faith Formation
Adult Faith Formation
Youth Faith Formation
ACTS
Past Retreats
PSR
PSR Registration and Fees
PSR Volunteers
Totus Tuus
Bulletins
Sacraments
Baptism
Become a Catholic
New Parishioner
Our School
Parish Updates
Photos
Past Publications
Rekindling the Stewardship
2nd Annual Trunk or Treat
Wurstmarkt 26
Eighth Grade Confirmation Retreat
Living Stations of the Cross
First Communion April 19, 2026
Eighth Grade Confirmation April 24