PSR REGISTRATION FORM

St. Jean Vianney Catholic Church - FORMATION REGISTRATION

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PSR Grades 1st-11th OCIA (Adapted for Children) Confirmation 2nd Grade Sacraments

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Students' Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Middle Name *

Date of Birth *

Gender *

Current Grade *

School *

Father's Name *

First

Last

Marital Status *

Email *

Phone Number *

Religion *

Mother's Name *

First

Last

Mother's Maiden Name *

Marital Status *

Email *

Phone Number *

Religion *

Custodial Documents Required? *

Upload Custodial Documentation (if required) *

Max file size: 20MB

Sacramental Documentation

Place of Birth *

Date of Baptism *

Place of Baptism *

Baptismal Certificate *

Max file size: 20MB

Date (First Eucharist) *

Place (First Eucharist) *

Date (Confirmation) *

Place (Confirmation) *

Submit

Please click "PayPal" Button Below to submit Payment

PayPal for Religious Education

PSR Grades 1st, 3rd-10th and students enrolled in OCIA adapted for children: $40.00 per child

PSR 2nd Grade Sacrament Preparation and 11th Grade Confirmation Year: $70.00 per child
(fees cover books, materials, retreats, certificates)

Catholic School Students in sacramental prep: $30.00 per child
**Please notify the church office if you are unable to pay this fee due to a hardship.

Additional Documentation Needed to Complete Registration

EMERGENCY INFORMATION FORM
File Size:	102 kb
File Type:	pdf

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MEDIA CONSENT AND RELEASE FORM
File Size:	132 kb
File Type:	pdf

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