Parish School of Religion (PSR) Registration

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Please fill out the following registration form for the St. Teresa of Avila and Saint William Region PSR classes.
Class fees cover books, religious education materials, and sacramental preparation including retreats.
Parishioner: $30/one child $60/two children $130/three or more children.
Non Parishioner: $60/one child $120/two children $150/three or more children.
Payment by check is preferred. All fees are required to be paid prior to the start of class.

You may register up to 4 children on this form. If you need to register additional children, please contact Maria Williams at 513-921-9200

Email *

Father's Name

Father's Religion

Mother's Name

Mother's Religion

Registered Parishioner of: (please list full church name)

Legal Guardian's Name (if other than mother/father)

Email for Communications * the majority of communication will occur via email. Please list an account you regularly check. You may list more than one.

Cell Phone/s | Home Phone

Mailing Address for Communications

Emergency Contact Name | Relationship

Emergency Contact Phone Number

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