* PSR 2016-2017 Sacramental History - St. Anselm (K-10th GRADE) Registration P

Welcome to St. Anselm PSR Sacramental History Online Registration!

***If your child is NEW to St. Anselm PSR or you DID NOT register them last year with PSR; please complete THIS SACRAMENTAL HISTORY REGISTRATION form.***

If you completed this Sacramental History Registration and submitted your child's Baptism and First Communion certificates last year: DO NOT COMPLETE THIS REGISTRATION AGAIN, choose the PSR SHORT FORM 2016-17 Registration.

The following 3 steps are required to be FULLY COMPLETED and SUBMITTED to the PSR OFFICE before WED., AUGUST 17, 2016 for your child/ren to begin classes on Mon., August 22 or Tues., August 23, 2016:

1. Each Head of Household MUST submit a completed St. Anselm Parish Registration before August 17, 2016, for your child/ren to attend St. Anselm PSR. We are updating our Parish Registration information, so please submit a completed form even if you know you are registered. * Only 1 Parish Registration is required per family, complete as Head of Household, not for student).
*** No child will be allowed to attend PSR without the completed registration.

2. St. Anselm PSR registration fee is $55.00 for each child, (with a $165.00 cap=3 children). If there's a hardship paying the full registration fee, please contact Sheri 985-845-7342. If your child will be receiving their First Reconciliation & First Communion (usually 2nd Grade) this year, there's an additional registration fee of $50.00 (which can not be waived).

3. Complete a separate Sacramental History Online Registration (below) for each child new to St. Anselm PSR this year.
Please DO NOT use ALL CAPS to complete this registration and before submitting registration, recheck the spelling of your personal information. The information you submit is used to create attendance sheets, programs, certificates and notifications in the recording your sacrament. * Please have copies of your Catholic Baptism, First Communion and/or Profession of Faith (if applicable) certificates available before you begin registration, as they contain information you'll need to complete your registration. If you need to acquire these documents, please call your Church of Catholic Baptism (Sacraments/Records Dept.) and request a copy of your Catholic Baptism Certificate with “Notations”. The “Notations” are the recordings of each Sacrament you've received following your Catholic Baptism.

 Allow 7-10 business days to receive documents from the church office.

If you do not have access to a computer or the internet, you may come to PSR Office to complete the registration form, please bring with you,copies of your child's Baptism and First Communion certificates.

*** Copies of each child's Baptism and First Communion (if applicable) certificates and Profession of Faith (if applicable) certificate are REQUIRED to be submitted to the PSR Office to complete registration. PSR does not have any previously collected Baptism or First Communion certificates, nor do we have access to sacramental records. Contact the Church of Baptism for records needed. Please allow 7-10 buisness days to receive documents.***

*** If you are registering for both PSR and RCIA-Childrens, please register for the PSR class needed and we'll add you to the RCIA-Childrens registration. If you need to register your child for just RCIA-Childrens chose the RCIA-Childrens class for registration.

All registration fees should be submitted by parent(s) directly to St. Anselm PSR only.

Please mail or bring to Parent & Student Meeting: the registration fee (please list your child/ren names in the memo line of your check), Parish Registration, copies of each child's Baptism and First Communion (if applicable) certificates and Profession of Faith (if applicable) certificate to:
St. Anselm Church 306 St. Mary Street Madisonville, LA 70447 Attn:PSR


~~~The Archdiocese of New Orleans and Louisiana State Law now REQUIRES any & all Adults who wish to remain on campus during St. Anselm PSR classes (for any reason), to now attend a Safe Environment Training class AND register with Austin Computing (background check) before participation is allowed. If you have a current Safe Environment Training lesson from another Parish and/or you are registered with Austin Computing, you must provide the PSR with your information and it must be verified with the Parish Office BEFORE you are allowed on campus during class.
You will find the Safe Environment, Austin Computing/Background Check Information at: https://docs.google.com/document/d/1jYhgSvdUV_kLwMU12tzLfS4YL9qqrTO0D4TvBGQpLd4/edit?pli=1
Please call St. Anselm PSR at 985-845-7342 for Safe Environment Training class listings, Austin Computing/Background Check details or more information.


Thank you for registering online.

We look forward to sharing the love of God with your child this year!

St. Anselm PSR
985-845-7342
psr@stanselmmadisonville.org

Student First Name
Your answer
Student Middle Name
Your answer
Student Last Name
Your answer
Student Birth Date
MM
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DD
/
YYYY
Male or Female
2016-17 School Attending
Grade 2016-17
Date of Student last formal PSR?
MM
/
DD
/
YYYY
Where was last PSR attened?
Sessions Available=Tuesday PSR 6:30pm-7:45pm 2016-17 PSR Grade, Day & Time (Please Choose One)
Please call St. Anselm PSR for registration of the following classes = Monday PSR 5:30pm-6:45pm - 6th Grd, 7th Grd, 8th Grd, 9th Grd & 10th Grd ; ** ALSO** Tuesday PSR 4:45-6:00pm 1st Grd, 2nd Grd, 3rd Grd, 4th Grd, & 5th Grd
Parent Contact FIRST NAME
Your answer
Parent Contact LAST NAME
Your answer
Cell Number for Parent Contact
Your answer
E-mail for Parent Contact
Your answer
Student Home Address-STREET ADDRESS
Your answer
Student Home Address-CITY
Student Home Address-STATE
Student Home Address-ZIP CODE
Student CATHOLIC Baptism Date
MM
/
DD
/
YYYY
Church of Catholic Baptism
Catholic Baptism Church-STREET ADDRESS (See Baptism Certificate)
Catholic Baptism Church-CITY (See Baptism Certificate)
Catholic Baptism Church-STATE (See Baptism Certificate)
Catholic Baptism Church-ZIP CODE (See Baptism Certificate)
Student City & State of BIRTH
Your answer
If Baptized other than Catholic, has student received Profession of Faith?
Date of Non-Catholic Baptism
If Baptized Catholic, insert registration date
MM
/
DD
/
YYYY
Church of Non-Catholic Baptism
Church of Non-Catholic Baptism -STREET ADDRESS
Non-Catholic Baptism Church-CITY
Non-Catholic Baptism Church-STATE
Non-Catholic Baptism Church-ZIP CODE
Church of Student First Reconciliation (Confession)
If your Child has not yet received their First Reconcilation, please list N/A in the "Other" option box.
Student First Communion Date
If your Child has not yet received their First Communion, please use today's date.
MM
/
DD
/
YYYY
Name of First Communion Church
If your Child has not yet received their First Communion, please list N/A in the "Other" option box.
First Communion Church-STREET ADDRESS (See Baptismal Certificate)
If your Child has not yet received their First Communion, please list N/A in the "Other" option box.
First Communion Church-CITY (See Baptismal Certificate)
If your Child has not yet received their First Communion, please list N/A in the "Other" option box.
First Communion Church-STATE (See Baptismal Certificate)
If your Child has not yet received their First Communion, please list N/A in the "Other" option box.
First Communion Church-ZIP CODE (See Baptismal Certificate)
If your Child has not yet received their First Communion, please list N/A in the "Other" option box.
Has your child received Confirmation through the RCIA process?
Where does your family attend Sunday Mass?
Pastor's Name?
Your answer
Are you registered at St. Anselm?
If 'Not Yet' is checked, this will automatically register you with St. Anselm Parish. Thank you
Envelope #
Your answer
Student's Father's First & Last Name
Your answer
Father's Religion
Father's Cell Number
Your answer
Student's Mother's First & Last Name
Your answer
Student's Mother's Maiden Name
Your answer
Mother's Religion
Mother's Cell Number
Your answer
Medical Information - List Food and/or Medication Allergies
Your answer
Name of Family Doctor
Your answer
Phone Number of Family Doctor
Your answer
Emergency Contact (other than parents) Name, Cell & Relationship
Your answer
Would you like to volunteer at St. Anselm PSR? ALL VOLUNTEER'S MUST TAKE SAFE ENVIRONMENT TRAINING CLASS AND REGISTER WITH AUSTIN COMPUTING/BACKGROUND CHECK.
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