PSR Registration

Please list any children under the age of 18 that are still living in your household. 1

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

Last Name REQUIRED Please fill out this field. Please enter valid data.
Date of Birth REQUIRED Please fill out this field. Please enter a date.
Grade Entering REQUIRED Please fill out this field. Please enter an integer (number).
Did this child attend PSR in 2020-2021? REQUIRED Yes No Please fill out this field.
Sacraments Received REQUIRED None Baptism First Holy Communion Confirmation Please fill out this field.
Does your child have health issues we should be aware of? If so, please describe.

Please list any children under the age of 18 that are still living in your household. 2

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

Last Name REQUIRED Please fill out this field. Please enter valid data.
Date of Birth REQUIRED Please fill out this field. Please enter a date.
Grade Entering REQUIRED Please fill out this field. Please enter an integer (number).
Did this child attend PSR in 2020-2021? REQUIRED Yes No Please fill out this field.
Sacraments Received REQUIRED None Baptism First Holy Communion Confirmation Please fill out this field.
Does your child have health issues we should be aware of? If so, please describe.

Please list any children under the age of 18 that are still living in your household. 3

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

Last Name REQUIRED Please fill out this field. Please enter valid data.
Date of Birth REQUIRED Please fill out this field. Please enter a date.
Grade Entering REQUIRED Please fill out this field. Please enter an integer (number).
Did this child attend PSR in 2020-2021? REQUIRED Yes No Please fill out this field.
Sacraments Received REQUIRED None Baptism First Holy Communion Confirmation Please fill out this field.
Does your child have health issues we should be aware of? If so, please describe.

Please list any children under the age of 18 that are still living in your household. 4

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

Last Name REQUIRED Please fill out this field. Please enter valid data.
Date of Birth REQUIRED Please fill out this field. Please enter a date.
Grade Entering REQUIRED Please fill out this field. Please enter an integer (number).
Did this child attend PSR in 2020-2021? REQUIRED Yes No Please fill out this field.
Sacraments Received REQUIRED None Baptism First Holy Communion Confirmation Please fill out this field.
Does your child have health issues we should be aware of? If so, please describe.

Please list any children under the age of 18 that are still living in your household. 5

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

Last Name REQUIRED Please fill out this field. Please enter valid data.
Date of Birth REQUIRED Please fill out this field. Please enter a date.
Grade Entering REQUIRED Please fill out this field. Please enter an integer (number).
Did this child attend PSR in 2020-2021? REQUIRED Yes No Please fill out this field.
Sacraments Received REQUIRED None Baptism First Holy Communion Confirmation Please fill out this field.
Does your child have health issues we should be aware of? If so, please describe.

Please list any children under the age of 18 that are still living in your household. 6

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

Last Name REQUIRED Please fill out this field. Please enter valid data.
Date of Birth REQUIRED Please fill out this field. Please enter a date.
Grade Entering REQUIRED Please fill out this field. Please enter an integer (number).
Did this child attend PSR in 2020-2021? REQUIRED Yes No Please fill out this field.
Sacraments Received REQUIRED None Baptism First Holy Communion Confirmation Please fill out this field.
Does your child have health issues we should be aware of? If so, please describe.

Please list any children under the age of 18 that are still living in your household. 7

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

Last Name REQUIRED Please fill out this field. Please enter valid data.
Date of Birth REQUIRED Please fill out this field. Please enter a date.
Grade Entering REQUIRED Please fill out this field. Please enter an integer (number).
Did this child attend PSR in 2020-2021? REQUIRED Yes No Please fill out this field.
Sacraments Received REQUIRED None Baptism First Holy Communion Confirmation Please fill out this field.
Does your child have health issues we should be aware of? If so, please describe.

Please list any children under the age of 18 that are still living in your household. 8

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

Last Name REQUIRED Please fill out this field. Please enter valid data.
Date of Birth REQUIRED Please fill out this field. Please enter a date.
Grade Entering REQUIRED Please fill out this field. Please enter an integer (number).
Did this child attend PSR in 2020-2021? REQUIRED Yes No Please fill out this field.
Sacraments Received REQUIRED None Baptism First Holy Communion Confirmation Please fill out this field.
Does your child have health issues we should be aware of? If so, please describe.

Please list any children under the age of 18 that are still living in your household. 9

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

Last Name REQUIRED Please fill out this field. Please enter valid data.
Date of Birth REQUIRED Please fill out this field. Please enter a date.
Grade Entering REQUIRED Please fill out this field. Please enter an integer (number).
Did this child attend PSR in 2020-2021? REQUIRED Yes No Please fill out this field.
Sacraments Received REQUIRED None Baptism First Holy Communion Confirmation Please fill out this field.
Does your child have health issues we should be aware of? If so, please describe.

Please list any children under the age of 18 that are still living in your household. 10

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

Last Name REQUIRED Please fill out this field. Please enter valid data.
Date of Birth REQUIRED Please fill out this field. Please enter a date.
Grade Entering REQUIRED Please fill out this field. Please enter an integer (number).
Did this child attend PSR in 2020-2021? REQUIRED Yes No Please fill out this field.
Sacraments Received REQUIRED None Baptism First Holy Communion Confirmation Please fill out this field.
Does your child have health issues we should be aware of? If so, please describe.

Please list any children under the age of 18 that are still living in your household. 11

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

Last Name REQUIRED Please fill out this field. Please enter valid data.
Date of Birth REQUIRED Please fill out this field. Please enter a date.
Grade Entering REQUIRED Please fill out this field. Please enter an integer (number).
Did this child attend PSR in 2020-2021? REQUIRED Yes No Please fill out this field.
Sacraments Received REQUIRED None Baptism First Holy Communion Confirmation Please fill out this field.
Does your child have health issues we should be aware of? If so, please describe.

Please list any children under the age of 18 that are still living in your household. 12

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

Last Name REQUIRED Please fill out this field. Please enter valid data.
Date of Birth REQUIRED Please fill out this field. Please enter a date.
Grade Entering REQUIRED Please fill out this field. Please enter an integer (number).
Did this child attend PSR in 2020-2021? REQUIRED Yes No Please fill out this field.
Sacraments Received REQUIRED None Baptism First Holy Communion Confirmation Please fill out this field.
Does your child have health issues we should be aware of? If so, please describe.

Please list any children under the age of 18 that are still living in your household. 13

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

Last Name REQUIRED Please fill out this field. Please enter valid data.
Date of Birth REQUIRED Please fill out this field. Please enter a date.
Grade Entering REQUIRED Please fill out this field. Please enter an integer (number).
Did this child attend PSR in 2020-2021? REQUIRED Yes No Please fill out this field.
Sacraments Received REQUIRED None Baptism First Holy Communion Confirmation Please fill out this field.
Does your child have health issues we should be aware of? If so, please describe.

Please list any children under the age of 18 that are still living in your household. 14

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

Last Name REQUIRED Please fill out this field. Please enter valid data.
Date of Birth REQUIRED Please fill out this field. Please enter a date.
Grade Entering REQUIRED Please fill out this field. Please enter an integer (number).
Did this child attend PSR in 2020-2021? REQUIRED Yes No Please fill out this field.
Sacraments Received REQUIRED None Baptism First Holy Communion Confirmation Please fill out this field.
Does your child have health issues we should be aware of? If so, please describe.

Please list any children under the age of 18 that are still living in your household. 15

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

Last Name REQUIRED Please fill out this field. Please enter valid data.
Date of Birth REQUIRED Please fill out this field. Please enter a date.
Grade Entering REQUIRED Please fill out this field. Please enter an integer (number).
Did this child attend PSR in 2020-2021? REQUIRED Yes No Please fill out this field.
Sacraments Received REQUIRED None Baptism First Holy Communion Confirmation Please fill out this field.
Does your child have health issues we should be aware of? If so, please describe.