PSR Registration Form
St. Peter's Parish School of Religion is for St. Peter's youth in grades Kindergarten through sixth, who attend one of the area's public schools, or who otherwise do not regularly receive education in the Catholic Faith.

We meet on Sundays throughout the year from 9:15 AM - 10:15 AM in the school. K-5 will be in the WEST WING, and 6th will be in the EAST WING.

A Fee of $20 per student, or $30 per family is due upon registration.  Please make all checks payable to "St. Peter the Apostle Catholic Church".  Please mark the memo section of the check as "PSR registration"

-Thank you!
Sign in to Google to save your progress. Learn more
Email *
Family Information
Family Last Name *
Parent/Guardian #1 - First and Last Name *
Is Parent/Guardian #1 Catholic? *
Is Parent/Guardian #1 Registered in the Parish? *
Parent/Guardian #2 - First and Last Name
Is Parent/Guardian #2 Catholic?
Clear selection
Is Parent/Guardian #2 Registered in the Parish?
Clear selection
Home Address - Street *
Home Address - City, State, Zip Code *
Family Phone Number *
Emergency Contact First & Last Name *
Emergency Contact Phone Number
Student Information
Once you have completed the appropriate fields, you may move on to Section 2.
Name of Student #1 (First and Last): *
Grade of Student #1: *
School of Student #1: *
Birth Date of Student #1: *
MM
/
DD
/
YYYY
Student #1 Place of Baptism: *
Does Student #1 request the reception of First Confession and First Holy Communion in the spring of 2022? *
Student #1 allergies/present medical condition/activity or food restrictions: *
Student #1 current medications: *
Does Student #1 wear contact lenses? *
Name of Student #2 (First and Last):
Grade of Student #2:
Clear selection
School of Student #2:
Birth Date of Student #2:
MM
/
DD
/
YYYY
Student #2 Place of Baptism:
Does Student #2 request the reception of First Confession and First Holy Communion in the spring of 2022?
Clear selection
Student #2 allergies/present medical condition/activity or food restrictions:
Student #2 current medications:
Does Student #2 wear contact lenses?
Clear selection
Name of Student #3 (First and Last):
Grade of Student #3:
Clear selection
School of Student #3:
Birth Date of Student #3:
MM
/
DD
/
YYYY
Student #3 Place of Baptism:
Does Student #3 request the reception of First Confession and First Holy Communion in the spring of 2019?
Clear selection
Student #3 allergies/present medical condition/activity or food restrictions:
Student #3 current medications:
Does Student #3 wear contact lenses?
Clear selection
Name of Student #4 (First and Last):
Grade of Student #4:
Clear selection
School of Student #4:
Birth Date of Student #4:
MM
/
DD
/
YYYY
Student #4 Place of Baptism:
Does Student #4 request the reception of First Confession and First Holy Communion in the spring of 2022?
Clear selection
Student #4 allergies/present medical condition/activity or food restrictions:
Student #4 current medications:
Does Student #4 wear contact lenses?
Clear selection
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of St. Peter Catholic Church. Report Abuse
Google Forms