2020-2021 P.S.R. Registration
PSR classes will be done remotely until January 2021. The class materials will be provided at no cost.
Family Last Name: *
Address: *
Primary email address for PSR correspondence: *
Additional email for PSR correspondence: *
Are you a registered parishioner at St. Francis Xavier? *
What parish do you attend if you are not registered at St. Francis Xavier?
Health Insurance Provider: *
Mother's Name (First and Last) *
Mother's Contact #: *
Father's Name (First and Last) *
Father's contact #: *
Marital Status of Parents *
Are there any custodial or other issues we need to know? Please explain.
Please provide one emergency contact other than a parent. *
What is your contact's relationship to your child(ren)? *
Emergency contact's phone number: *
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