2017-2018 New Student PSR Registration
ATTENTION: THIS FORM IS FOR NEW STUDENTS ONLY! If you wish to register a RETURNING PSR student, please use this form: https://goo.gl/forms/E1JfGjqI7RgB1ELN2

This form is due by September 1, 2017 -- there is a $20 late fee per child.

Fees for this year are also due NO LATER THAN September 1.
1 child: $60
2 children in the same family: $75
3 or more children in the same family: $90

September 18, 2017 at 6:30pm - Opening PSR Mass followed by dinner in McBride Hall.
PSR classes begin on September 25th and will always be 6:30-7:30pm.

Student's First Name
Your answer
Student's Last Name
Your answer
Student's Gender
Student's Birthdate
MM
/
DD
/
YYYY
Grade for 2017-2018 School Year
Which school does your child attend?
Your answer
Home address (including city and zipcode)
Your answer
Parent contact email (if you would like to include more than one, please separate emails using a comma)
Your answer
Parent contact phone number (if you would like to include more than one, please separate emails using a comma)
Your answer
Please list any known allergies or other information the teachers of this child will need:
Your answer
Does your child have permission to walk home?
If anyone, other than a parent, will pick your child(ren) up from class, please list their name(s) here. (This information is essential for students in grades 1-3 as they are dismissed TO someone.)
Your answer
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