PSR

PSR Registration Form 2017-18

Part 1: Student Information (must be completed for EACH student you are enrolling)

First Child


Second Child


Third Child


Part 2: Parent/Legal Guardian Information

Send All MailingsTo:


Mother's Information


Father's Information


Emergency Contact (please list someone who lives locally)




Registration Fees

$35-one child
$70-two children
$100-three or more children

There will be a $10 late fee charged if registering your child(ren) after August 1, 2017.

In addition to the PSR registration fee, there is also a $10 fee for each child you may have that will make their :

Reconciliation/1st Eucharist
Confirmation
9th/10th grade retreat

All fees due at time of registration

To pay online, go to:

https://sttheresaofavila.weshareonline.org/