* PSR SHORT FORM 2016-2017 PSR (K-10th Grade) Registration

Welcome to St. Anselm PSR Online Registration!

***If you are NEW to St. Anselm PSR or DID NOT register last year with PSR-Please Do Not complete this registration form.***
Please complete Sacramental History Registration form for each student.

This PSR Registration form is only for those students who completed the 2015-2016 PSR Sacramental History 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. 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).

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) and Parish Registration to:
St. Anselm Church 306 St. Mary Street Madisonville, LA 70447 Attn:PSR

3. Complete a separate Short Form Online Registration (below) for each child attending St. Anselm PSR.
Please DO NOT use ALL CAPS to complete this registration. 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.

*** 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.

~~~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
Where was last PSR attened?
Date of Student last formal PSR?
MM
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DD
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YYYY
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
2016-17 Stpsb School Attending
Stpsb Grade 2016-17
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
Where does your family attend Sunday Mass?
Pastor's Name?
Your answer
St. Anselm Parish Envelope #
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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