PSR Registration

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Family Name Please enter valid data.
Preferred Email for PSR Contact REQUIRED Please fill out this field. Please enter an email address.
Parent Info
- Father's First Name Please enter valid data.
- Father's Email Please enter valid data.
- Father's Cell Number Please enter valid data.
- Mother's Name Please enter valid data.
- Mother's Email Please enter valid data.
- Mother's Cell Number Please enter valid data.
Home Phone REQUIRED Please fill out this field. Please enter valid data.
Street Address Please enter valid data.
City REQUIRED Please fill out this field. Please enter valid data.

State REQUIRED Please fill out this field.

Zip REQUIRED Please fill out this field. Please enter a zip code.
Number of Children Attending PSR REQUIRED
Tuition must be paid with registration by August 31, 2019. Should financial difficulties arise, please speak with Fr. Enzweiler. Tuition allows for purchase of books, supplies, and other resources for the Religious Education Program.
Please fill out this field.
I prefer to submit my cash or check payment: REQUIRED Please fill out this field.
Registered at St. Thomas Parish? REQUIRED Yes No Please fill out this field.
Out of parish families: Home Parish Name Please enter valid data.
Student(s) To Be Enrolled In The Program
- Name REQUIRED Please fill out this field. Please enter valid data.
- Date of Birth REQUIRED Please fill out this field. Please enter valid data.
- Sacraments Received Baptism 1st Communion 1st Reconciliation Confirmation
- Grade 2019-2020 REQUIRED Please fill out this field.
- School REQUIRED Please fill out this field. Please enter valid data.
Student #2 (if applicable)
- Name Please enter valid data.
- Date of Birth Please enter valid data.
- Sacraments Received Baptism 1st Communion 1st Reconciliation Confirmation
- Grade 2019-2020
- School Please enter valid data.
Student #3 (if applicable)
- Name Please enter valid data.
- Date of Birth Please enter valid data.
- Sacraments Received Baptism 1st Communion 1st Reconciliation Confirmation
- Grade 2019-2020
- School Please enter valid data.
Student #4 (if applicable)
- Name Please enter valid data.
- Date of Birth Please enter valid data.
- Sacraments Received Baptism 1st Communion 1st Reconciliation Confirmation
- Grade 2019-2020
- School Please enter valid data.
- I agree to: REQUIRED Submit my payment on time, by August 31, 2019 Bring my children to attend PSR as frequently as is possible for my family Form my children, to the best of my ability in our daily family life, in the teachings of the Catholic Faith and in support and consistency with what they are learning at PSR. I understand that I am the primary educator of my children, and weekly PSR meetings are meant to serve as a support to my vocation as a parent. Please fill out this field.
Electronic Signature (Please type name below) REQUIRED Please fill out this field. Please enter valid data.
Today's Date REQUIRED Please fill out this field. Please enter valid data.

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