PSR Registration 2017-2018
Welcome to a new PSR school year! Please complete the form below to register your child for PSR. Please complete a registration form for each child you are enrolling in PSR. Payment of $50.00 per child will be due on the first day of class (Sunday, September 10th). We request that you make your payment online by following the link at the end of this registration form. If you are unable to make your payment online, checks may be made payable to St. John Vianney Parish and may be given to your child's teacher on the first day of class. Please contact Father George or PSR Coordinators Stacy Saladino and Michaela Campbell if the registration fee is burdensome to your family.

Note to parents of Confirmation candidates: There will be an additional fee each year to help cover the cost of an annual retreat for the Confirmation class. This fee will help to cover the cost of supplies and food for the retreat and will be determined prior to each retreat (one each year of the two-year class).

Student's first name. *
Your answer
Student's last name. *
Your answer
Student's date of birth
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Student's grade for 2017-2018 school year. *
Mother's First & Last Name
Your answer
Father's First & Last Name
Your answer
Parent Phone Number(s) *
Your answer
Please provide your address.
Your answer
Please provide any medical (such as food allergies) or educational needs of this child that would be helpful information for your child's teacher to know.
Your answer
Please list the city and state of your child's birth. *
Your answer
Mother's religious affiliation.
Father's religious affiliation.
Are you currently a member of St. John Vianney Parish? *
If you or someone in your family is not currently a member of SJV but is interested in joining, please provide contact information below.
Your answer
SJV will be providing Safe Touch lessons to students during class on Sunday, September 17th. These lessons will focus on personal safety of children and are very important skills for all children to learn. Please check below indicating permission for your child to participate in this lesson. *
The diocese will send home Safe Touch parent packets with the children not attending.
If your child is new to the PSR program, you do not currently receive PSR emails, and/or your email address has changed, please provide your email below.
The majority of PSR communications (weekly newsletters, notifications of upcoming events, cancellations due to weather, etc.) are made via email.
Your answer
Has your child received 1st Reconciliation and 1st Communion? *
Has your child been baptized? *
Was your son/daughter baptized at St. John Vianney Parish? *
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