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St. Joan of Arc Parish PSR Enrollment Form 2023-2024
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* Indicates required question
Family Last Name
*
Your answer
Phone # (cell preferred)
Your answer
Email address:
*
Your answer
Child 1 First Name
*
Your answer
Child 1 Middle Name
*
Your answer
Child 1 Last Name
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Grade level for 23-24 year
*
Choose
K
1
2
3
4
5
6
7
8
other
Gender
*
Male
Female
Race
White/Caucasian
Hispanic/Latino (a)
Black/African American
Hawaiian/Pacific Islander
Asian
Indigenous/Native American
Prefer not to answer
Clear selection
My child attends (school name & city)
*
Your answer
Sacramental Information: Sacraments received (if new, a copy of his/her baptism certificate will be required- unless baptized at St Joan of Arc ) Please provide details below for EACH Sacrament
example: Yes, 10/20/2017, St Joseph Parish, Mantua
Baptism: Date & Parish Name, City
Your answer
Reconciliation: Date & Parish Name, City
Your answer
Communion: Date & Parish Name, City
Your answer
Confirmation: Date & Parish Name, City
Your answer
Child 2 First Name
*
Your answer
Child 2 Middle Name
Your answer
Child 2 Last Name
Your answer
Date of Birth
MM
/
DD
/
YYYY
Grade level for 23-24 year
Choose
K
1
2
3
4
5
6
7
8
other
Gender
Male
Female
Clear selection
Race
White/Caucasian
Hispanic/Latino (a)
Black/African American
Hawaiian/Pacific Islander
Asian
Indigenous/Native American
Prefer not to answer
Clear selection
My child attends (school name & city)
*
Your answer
Sacramental Information: Sacraments received (if new, a copy of his/her baptism certificate will be required- unless baptized at St Joan of Arc) Please provide details below for EACH Sacrament
example: Yes, 10/20/2017, St Joseph Parish, Mantua
Baptism: Date & Parish Name, City
Your answer
Reconciliation: Date & Parish Name, City
Your answer
Communion: Date & Parish Name, City
Your answer
Confirmation: Date & Parish Name, City
Your answer
Child 3 First Name
Your answer
Child 3 Middle Name
Your answer
Child 3 Last Name
Your answer
Date of Birth
MM
/
DD
/
YYYY
Grade level for 23-24 year
Choose
K
1
2
3
4
5
6
7
8
other
Gender
Male
Female
Clear selection
Race
White/Caucasian
Hispanic/Latino (a)
Black/African American
Hawaiian/Pacific Islander
Asian
Indigenous/Native American
Prefer not to answer
Clear selection
My child attends (school name & city)
Your answer
Sacramental Information: Sacraments received (if new, a copy of his/her baptism certificate will be required- unless baptized at St Joan of Arc) Please provide details below for EACH Sacrament
example: Yes, 10/20/2017, St Joseph Parish, Mantua
Baptism: Date & Parish Name, City
Your answer
Reconciliation: Date & Parish Name, City
Your answer
Communion: Date & Parish Name, City
Your answer
Confirmation: Date & Parish Name, City
Your answer
Child 4 First Name
Your answer
Child 4 Middle Name
Your answer
Child 4 Last Name
Your answer
Grade level for 23-24 year
Choose
K
1
2
3
4
5
6
7
8
other
Date of Birth
MM
/
DD
/
YYYY
Gender
Male
Female
Clear selection
Race
White/Caucasian
Hispanic/Latino (a)
Black/African American
Hawaiian/Pacific Islander
Asian
Indigenous/Native American
Prefer not to answer
Clear selection
My child attends (school name & city)
Your answer
Sacramental Information: Sacraments received (if new, a copy of his/her baptism certificate will be required- unless baptized at St Joan of Arc) Please provide details below for EACH Sacrament
example: Yes, 10/20/2017, St Joseph Parish, Mantua
Baptism: Date & Parish Name, City
Your answer
Reconciliation: Date & Parish Name, City
Your answer
Communion: Date & Parish Name, City
Your answer
Confirmation: Date & Parish Name, City
Your answer
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