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PSR Registration Form 23-24
PSR Registration Form K - 8
Family Information is required first and each student afterward
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* Indicates required question
Email
*
Your email
Family Last Name (for mailing purposes)
*
Your answer
Mother's Name (First and MAIDEN)
*
Your answer
Mother's Cell Phone
*
Your answer
Father's Name (First and Last)
*
Your answer
Father's Cell Phone
*
Your answer
Name of Guardian (if not the parents)
Your answer
Address (Number and street)
*
Your answer
City
*
Your answer
State
*
Your answer
Zip Code
*
Your answer
Church of registration
*
Your answer
Child/children live with
*
Both parents
Mother only
Father only
Mother and Stepfather
Father and Stepmother
Other
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