St. Clare Parish School of Religion (PSR) Registration 2018-19
Please complete this form to register your child(ren) for St. Clare Parish School of Religion (PSR) for school year 2018-19 by Aug. 12.

PSR families must be registered, contributing and participating members of St. Clare Parish. A child must have regularly attended a PSR class or a Catholic school for one year before being accepted into a sacramental preparation program. The fee is $65 for the first child and $55 for an additional child in a family, if registered and paid by Aug. 12, 2018.  The registration fee for the third and fourth student a family enrolls in the PSR program is $40 each. The fee increases to $90 for each child registered after Aug. 12. Please contact Jane Dotson for payment arrangements or fee waivers.

Please note: At the end of this online registration, you will need to print the last page and press the submit button in order for your registration to be recorded.
Sign in to Google to save your progress. Learn more
Family Information
Family name *
Mother/guardian's first and last name
Father/guardian's first and last name
Street address *
City *
State *
Abbreviate (IL)
Zip code *
Primary phone *
XXX-XXX-XXXX
Secondary  phone
Primary parent email *
Secondary parent email
Parent or other emergency contact *
Must be able to reach this person during PSR hours
Emergency contact phone *
Must be able to reach this number during PSR hours
If you or a family member would like to help with PSR, please list a name and contact number.
If you are interested in helping out, which area would you like to help with?
(select 1 or more)
Would you like more information on adult faith formation opportunities?
Clear selection
Which Mass does your family typically attend at St. Clare Church? *
(select 1)
Required
Oldest child in PSR information
Please list oldest child's information here
Child's last name *
Child's first name *
Child's grade *
Child's gender *
Child's date of birth *
MM/DD/YYYY
Child's school *
Child's year of Baptism *
If your child has not been baptized, list "not baptized."
Other sacraments
Click on those sacraments your child has received
List any learning, behavorial, physical or emotional difficulties your child has
List any allergies your child has
Do you have other children to register in PSR? *
Press submit button after printing the last page
Your registration is not complete until you print the last page and press the submit button.
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy