Parish School of Religion (PSR)

To register your child for the Parish School of Religion, please complete this online form.

**Please note that we require a copy of your child's Baptismal Certificate for any students receiving sacraments in the upcoming year.

Parish Affiliation REQUIRED Ascension of Our Lord St. Joan of Arc Please fill out this field.

Registration Status REQUIRED New Registration Re-registration Please fill out this field.

Father's First & Last Name REQUIRED Please fill out this field. Please enter valid data.

Father's Religion REQUIRED Please fill out this field. Please enter valid data.

Mother's First & Last Name REQUIRED Please fill out this field. Please enter valid data.

Mother's Religion REQUIRED Please fill out this field. Please enter valid data.

Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Alternate Phone Number for Emergency Contact REQUIRED Please fill out this field. Please enter a phone number.

Mailing Address REQUIRED Please fill out this field. Please enter valid data.

City REQUIRED Please fill out this field. Please enter valid data.

State REQUIRED Please fill out this field.

Zip REQUIRED Please fill out this field. Please enter a zip code.

Email Address (for Contact and Important Information) REQUIRED Please fill out this field. Please enter an email address.

How many children are you registering? REQUIRED Please fill out this field.
Child 1
- Child's First & Last Name REQUIRED Please fill out this field. Please enter valid data.
- Birth Date REQUIRED Please fill out this field. Please enter a date.
- Gender REQUIRED Male Female Please fill out this field.
- Will your child be receiving any Sacraments this year? First Reconciliation and First Eucharist Confirmation (going into 10th or 11th grade)
- **Copy of Baptismal Certificate must be provided to the Parish Office for those receiving Sacraments this year.
- Grade REQUIRED Please fill out this field. Please enter an integer (number).
- School REQUIRED Please fill out this field. Please enter valid data.
- Date of Catholic Baptism Please enter a date.
- Church & City of Baptism Please enter valid data.
- Date of First Eucharist Please enter a date.
- Church & City of First Eucharist Please enter valid data.
- Special Needs Please enter valid data.
Child 2
- Child's First & Last Name REQUIRED Please fill out this field. Please enter valid data.
- Birth Date REQUIRED Please fill out this field. Please enter a date.
- Gender REQUIRED Male Female Please fill out this field.
- Will your child be receiving any Sacraments this year? First Reconciliation and First Eucharist Confirmation (going into 10th or 11th grade)
- **Copy of Baptismal Certificate must be provided to the Parish Office for those receiving Sacraments this year.
- Grade REQUIRED Please fill out this field. Please enter an integer (number).
- School REQUIRED Please fill out this field. Please enter valid data.
- Date of Catholic Baptism Please enter a date.
- Church & City of Baptism Please enter valid data.
- Date of First Eucharist Please enter a date.
- Church & City of First Eucharist Please enter valid data.
- Special Needs Please enter valid data.
Child 3
- Child's First & Last Name REQUIRED Please fill out this field. Please enter valid data.
- Birth Date REQUIRED Please fill out this field. Please enter a date.
- Gender REQUIRED Male Female Please fill out this field.
- Will your child be receiving any Sacraments this year? First Reconciliation and First Eucharist Confirmation (going into 10th or 11th grade)
- **Copy of Baptismal Certificate must be provided to the Parish Office for those receiving Sacraments this year.
- Grade REQUIRED Please fill out this field. Please enter an integer (number).
- School REQUIRED Please fill out this field. Please enter valid data.
- Date of Catholic Baptism Please enter a date.
- Church & City of Baptism Please enter valid data.
- Date of First Eucharist Please enter a date.
- Church & City of First Eucharist Please enter valid data.
- Special Needs Please enter valid data.
Child 4
- Child's First & Last Name REQUIRED Please fill out this field. Please enter valid data.
- Birth Date REQUIRED Please fill out this field. Please enter a date.
- Gender REQUIRED Male Female Please fill out this field.
- Will your child be receiving any Sacraments this year? First Reconciliation and First Eucharist Confirmation (going into 10th or 11th grade)
- **Copy of Baptismal Certificate must be provided to the Parish Office for those receiving Sacraments this year.
- Grade REQUIRED Please fill out this field. Please enter an integer (number).
- School REQUIRED Please fill out this field. Please enter valid data.
- Date of Catholic Baptism Please enter a date.
- Church & City of Baptism Please enter valid data.
- Date of First Eucharist Please enter a date.
- Church & City of First Eucharist Please enter valid data.
- Special Needs Please enter valid data.
Child 5
- Child's First & Last Name REQUIRED Please fill out this field. Please enter valid data.
- Birth Date REQUIRED Please fill out this field. Please enter a date.
- Gender REQUIRED Male Female Please fill out this field.
- Will your child be receiving any Sacraments this year? First Reconciliation and First Eucharist Confirmation (going into 10th or 11th grade)
- **Copy of Baptismal Certificate must be provided to the Parish Office for those receiving Sacraments this year.
- Grade REQUIRED Please fill out this field. Please enter an integer (number).
- School REQUIRED Please fill out this field. Please enter valid data.
- Date of Catholic Baptism Please enter a date.
- Church & City of Baptism Please enter valid data.
- Date of First Eucharist Please enter a date.
- Church & City of First Eucharist Please enter valid data.
- Special Needs Please enter valid data.
Child 6
- Child's First & Last Name REQUIRED Please fill out this field. Please enter valid data.
- Birth Date REQUIRED Please fill out this field. Please enter a date.
- Gender REQUIRED Male Female Please fill out this field.
- Will your child be receiving any Sacraments this year? First Reconciliation and First Eucharist Confirmation (going into 10th or 11th grade)
- **Copy of Baptismal Certificate must be provided to the Parish Office for those receiving Sacraments this year.
- Grade REQUIRED Please fill out this field. Please enter an integer (number).
- School REQUIRED Please fill out this field. Please enter valid data.
- Date of Catholic Baptism Please enter a date.
- Church & City of Baptism Please enter valid data.
- Date of First Eucharist Please enter a date.
- Church & City of First Eucharist Please enter valid data.
- Special Needs Please enter valid data.

Registration Fee: 1 Child -- $40 2 Children -- $75 3 Children -- $95

** No child will be refused registration due to financial restrictions. Please contact PSR Coordinator Andree Gurdian at andreemgurdian@gmail.com for possible payment plans or other arrangements.**

How will you be paying your registration fee? REQUIRED I will mail/drop off my registration payment to the parish office. I will bring payment to the first class. I would like to begin a payment plan. I cannot afford a registration fee at this time. Please fill out this field.