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.

Family Information
Family name *
Your answer
Mother/guardian's first and last name
Your answer
Father/guardian's first and last name
Your answer
Street address *
Your answer
City *
Your answer
State *
Abbreviate (IL)
Your answer
Zip code *
Your answer
Primary phone *
XXX-XXX-XXXX
Your answer
Secondary phone
Your answer
Primary parent email *
Your answer
Secondary parent email
Your answer
Parent or other emergency contact *
Must be able to reach this person during PSR hours
Your answer
Emergency contact phone *
Must be able to reach this number during PSR hours
Your answer
If you or a family member would like to help with PSR, please list a name and contact number.
Your answer
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?
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 *
Your answer
Child's first name *
Your answer
Child's grade *
Your answer
Child's gender *
Child's date of birth *
MM/DD/YYYY
Your answer
Child's school *
Your answer
Child's year of Baptism *
If your child has not been baptized, list "not baptized."
Your answer
Other sacraments
Click on those sacraments your child has received
List any learning, behavorial, physical or emotional difficulties your child has
Your answer
List any allergies your child has
Your answer
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.
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