21-22 PSR & Sacramental Prep Registration
Please fill out the following information in order to register your child for PSR grades K through 11th.

Registration Costs:  $25 per child (K-10) and $35 for Confirmation.  If you still need financial aid, please call the church office at 225-473-8569.

Registration Deadline:  Tuesday, July 20.  A late fee of $25 will be assessed to those students registering after this date.

You can write a check payable to ST. ELIZABETH CHURCH with MEMO - PSR and Child's Name and mail to:

St. Elizabeth Church
P.O. Box 1
Paincourtville, LA 70391

OR

Drop off at the St. Jules Rectory in Belle Rose. You can place it in the mail slot on the front door.
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Email *
Student First Name *
Student Last Name *
Birthdate *
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DD
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School Attending *
Grade *
Is your child receiving a sacrament this year? If so, please indicate which one below. **Please note that if your child is receiving a sacrament, you will need to provide a copy of their baptismal certificate.
Where was your child baptized (name of the church).   *
At which Church parish are you registered? *
Fathers Name (First, Last) *
Mothers Name (First, Last) *
Address *
City *
State *
Zip *
Primary Phone Number *
Secondary Phone Number
Are you registered on FLOCKNOTE? *
A copy of your responses will be emailed to the address you provided.
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