PSR Registration

REGISTRATION IS NOW OPEN FOR 2019-2020!

Family Information

Family Name REQUIRED Please fill out this field. Please enter valid data.

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

Father's Phone Number REQUIRED Please fill out this field. Please enter a phone number.

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

Mother's Phone Number REQUIRED Please fill out this field. Please enter a phone number.

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.

Email REQUIRED Please fill out this field. Please enter an email address.

Emergency Contact REQUIRED Please fill out this field. Please enter valid data.

Emergency Contact Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Are both parents Catholic? REQUIRED Please fill out this field.

Student #1 Information

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

Gender REQUIRED Male Female Please fill out this field.

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

Grade REQUIRED Please fill out this field. Please enter valid data.

Sacramental Details (please list all that apply: Baptism date, Eucharist date, etc.)

Special Needs (Medical, Learning Disabilities, Physical Disabilities, etc.) Please enter valid data.

Student #2 Information

Child's Name Please enter valid data.

Gender Male Female

Birth Date Please enter a date.

Grade Please enter valid data.

Sacramental Details (please list all that apply: Baptism date, Eucharist date, etc.)

Special Needs (Medical, Learning Disabilities, Physical Disabilities, etc.) Please enter valid data.

Student #3 Information

Child's Name Please enter valid data.

Gender Male Female

Birth Date Please enter a date.

Grade Please enter valid data.

Sacramental Details (please list all that apply: Baptism date, Eucharist date, etc.)

Special Needs (Medical, Learning Disabilities, Physical Disabilities, etc.) Please enter valid data.

Student #4 Information

Child's Name Please enter valid data.

Gender Male Female

Birth Date Please enter a date.

Grade Please enter valid data.

Sacramental Details (please list all that apply: Baptism date, Eucharist date, etc.)

Special Needs (Medical, Learning Disabilities, Physical Disabilities, etc.) Please enter valid data.

Student #5 Information

Child's Name Please enter valid data.

Gender Male Female

Birth Date Please enter a date.

Grade Please enter valid data.

Sacramental Details (please list all that apply: Baptism date, Eucharist date, etc.)

Special Needs (Medical, Learning Disabilities, Physical Disabilities, etc.) Please enter valid data.

NOTE: If any of your children were baptized outside of this parish, and you hae not already supplied us with a copy of each child's baptismal record, you will need to supply a copy for our files.

Tuition

Sacramental Preparation
(First Communion and Confirmation) $75 per child

All other grades
(K4 - 8th) $60 per child

TO PAY ONLINE through FaithDirect: Click "Make a One-Time Payment Now". Choose "PSR". Enter the tuition amount and required information. Make sure you click "Process Gift Now" before exiting Faith Direct.