PSR registration
Family Information
Email address *
Are you new to PSR?
Last Name *
Your answer
Mother's Name *
Your answer
Father's Name *
Your answer
Marital Status of Parents
Child (ren) live(s) with:
Email (best one) *
Your answer
Has any information changed since last year? If so, tell us what- new address? email? phone #?
Your answer
Family Mailing address (if new)
Your answer
Primary Phone # (where you can be reached during PSR)
Your answer
Add'l email address:
Your answer
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