PSR Registration
Please fill out a form for each child
Parents/Guardian *
Your answer
Address *
Your answer
City *
Your answer
State *
KS
Your answer
Zip *
Your answer
Phone Number *
Your answer
Emergency Contact and Phone # *
Your answer
Parent/Guardian's Email Address
Your answer
Child Information
Child's Name *
Your answer
Date of Birth *
Your answer
Grade *
Your answer
Is your child Baptized *
If so, where?
Church, City, State
Your answer
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