Holy Redeemer PSR Registration

Holy Redeemer 2020-2021 PSR Registration

Please complete this form in its entirety to successfully register your family for Holy Redeemer's Parish School of Religion.
What will PSR look like this first semester?

8th grade students will meet socially distanced. Classes will be outside or in the Church Meeting Room in order to spread out appropriately. The remaining classes will begin on Sept. 14th. We will meet outside, in person for the first two weeks, Sept. 14th and Sept. 21. After the first two weeks we will go to "at-home" learning. Textbooks & information will be sent home, with guidance from the teacher catechists for families to continue their religious education.
GENERAL INFORMATION
Family Surname(s) *
Last Name
How many children are you registering for 2019-2020 PSR? *
What parish are you registered in? *

Holy Redeemer
Student(s) live(s) with? *

Both Parents Together Mother Father Guardian
Current Mailing Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
STUDENT INFORMATION
FIRST CHILD

The child you list as First Child will be considered "Oldest/Only" in our database and, when given, will be the child to receive information to be brought home.
Child's Legal Name *

First Name Last Name
Nickname (if applicable)
Child's Birth Date *

Month Day Year
Gender
Schools Attended *
Please list Elementary and Middle Schools
PSR Grade Level for 2020-2021 *
Please note, 1st grade level is mandatory prior to 2nd as is 7th grade level is mandatory prior to 8. Transfers must verify attendance from another program.
What would you like us to know about your child to help PSR staff in meeting your child's medical, emotional, spiritual & learning needs. *
(e.g. Kathleen is on medication for...has an IEP...has a serious allergy to...experiences difficulty in...) Information will be kept confidential.
SECOND CHILD
Child's Legal Name *

First Name Last Name
Nickname (if applicable)
Child's Birth Date *

Month Day Year
Gender
Schools Attended *
Please list Elementary and Middle Schools
PSR Grade Level for 2020-2021 *
Please note, 1st grade level is mandatory prior to 2nd as is 7th grade level is mandatory prior to 8. Transfers must verify attendance from another program.
What would you like us to know about your child to help PSR staff in meeting your child's medical, emotional, or learning needs. *
(e.g. Kathleen is on medication for...has an IEP...has a serious allergy to...experiences difficulty in...) Information will be kept confidential.
THIRD CHILD
Child's Legal Name *

First Name Last Name
Nickname (if applicable)
Child's Birth Date *

Month Day Year
Gender
Schools Attended *
Please list Elementary and Middle Schools
PSR Grade Level for 2020-2021 *
Please note, 1st grade level is mandatory prior to 2nd as is 7th grade level is mandatory prior to 8. Transfers must verify attendance from another program.
What would you like us to know about your child to help PSR staff in meeting your child's medical, emotional, or learning needs. *
(e.g. Kathleen is on medication for...has an IEP...has a serious allergy to...experiences difficulty in...) Information will be kept confidential.
FOURTH CHILD
Child's Legal Name *

First Name Last Name
Nickname (if applicable)
Child's Birth Date *

Month Day Year
Gender
Schools Attended *
Please list Elementary and Middle Schools
PSR Grade Level for 2020-2021 *
Please note, 1st grade level is mandatory prior to 2nd as is 7th grade level is mandatory prior to 8. Transfers must verify attendance from another program.
What would you like us to know about your child to help PSR staff in meeting your child's medical, emotional, or learning needs. *
(e.g. Kathleen is on medication for...has an IEP...has a serious allergy to...experiences difficulty in...) Information will be kept confidential.
FIFTH CHILD
Child's Legal Name *

First Name Last Name
Nickname (if applicable)
Child's Birth Date *

Month Day Year
Gender
Schools Attended *
Please list Elementary and Middle Schools
PSR Grade Level for 2020-2021 *
(e.g. Kathleen is on medication for...has an IEP...has a serious allergy to...experiences difficulty in...) Information will be kept confidential.
What would you like us to know about your child to help PSR staff in meeting your child's medical, emotional, or learning needs. *
(e.g. Kathleen is on medication for...has an IEP...has a serious allergy to...experiences difficulty in...) Information will be kept confidential.
SIXTH CHILD
Child's Legal Name *

First Name Last Name
Nickname (if applicable)
Child's Birth Date *

Month Day Year
Gender
Schools Attended *
Please list Elementary and Middle Schools
PSR Grade Level for 2020-2021 *
Please note, 1st grade level is mandatory prior to 2nd as is 7th grade level is mandatory prior to 8. Transfers must verify attendance from another program.
What would you like us to know about your child to help PSR staff in meeting your child's medical, emotional, or learning needs. *
(e.g. Kathleen is on medication for...has an IEP...has a serious allergy to...experiences difficulty in...) Information will be kept confidential.
PARENT/GUARDIAN INFORMATION

The following information is needed for our database and the students' permanent and Sacramental records.
Name of Mother *

First Name Last Name Maiden Name if applicable
Living/Deceased?

Living Deceased
Religion of Mother

Roman Catholic
Marital Status of Mother
Name of Father *

First Name Last Name
Living/Deceased?

Living Deceased
Religion of Father

Roman Catholic
Marital Status of Father
Name of Guardian

First Name Last Name
Religion of Guardian

Roman Catholic
Additional Parent Information:
CONTACT INFORMATION

Please submit the parents'/guardian's contact information.
Primary Phone Number *

Area Code Phone Number
Whose phone # is this? *

Mom Dad Guardian
Secondary Phone Number

Area Code Phone Number
Whose phone # is this?

Mom Dad Guardian
Primary E-mail *
Secondary E-mail
Please fill out secondary email if you wish to have information sent to both addresses.
Emergency Contact 1 (other than parent/guardian listed above) *
First and Last Name, Relationship to Student(s)
Emergency Contact 1 Phone Number *

Area Code Phone Number
Emergency Contact 2 (other than parent/guardian listed above)
First and Last Name, Relationship to Student(s)
Emergency Contact 2 Phone Number

Area Code Phone Number
DISMISSAL

Dismissal will be at 7:45pm. Please indicate your dismissal preference. The parking lot is "closed" while children are walking. Cars may NOT move until all children are safely in their car. Those being picked up in the parking lot will be escorted through the exterior gym doors. Dismissal parking is NOT on Joy or Lockwood. Those walking home will exit at the front doors of the school.
Dismissal Preference *

I will pick up my child(ren) from the parking lot My child(ren) are allowed to walk home
Additional people allowed to pick up my children other than parents/guardians and emergency contact.
MEDIA AUTHORIZATION

For marketing and publicity purposes, there may be times when the school/parish wishes to use your and/or your child(ren)’s image, name, recording, or academic work in various media for marketing and/or publicity purposes. Our purpose for asking is to mainly use in the bulletin and on the website. As a parent, you may grant or deny authorization.
I grant permission to use my or my child(ren)’s image, name, recording, or academic work in communications that include, but are not limited to, the parish bulletin, school newsletter, parish/school website and social media.

Yes No
Parent Participation

Parents are the life breath to successful faith formation! We have a number of ways for you to be involved.
Catechist: acts as the faith educator/teacher in the classroom and receives a stipend. Arrive each week by 6:15.

Classroom Aid: makes a weekly commitment and assists the Catechist in the classroom. Tuition is waived. Arrive each week by 6:15.

Safety Team: helps with floor monitoring and dismissal every few weeks. Arrive at 6:15.

Room Parent: periodically helps with classroom necessities.

Arrival and Dismissal: periodically help with ensuring students get into the building and that dismissal runs smoothly. Arrive at 6:15 to help with arrival. Arrive at 7:30 to help with Dismissal.

All volunteer adults must go through Protecting God's Children, have a background check and sign a Code of Ethical Conduct.
Please indicate your preference to help in one of the following areas: *

Catechist Classroom Aid Safety Team Room Parent Arrival and Dismissal
REGISTRATION FEE

We will be dividing payments this year by semester due to the unique learning situation this year.
First semester registration fee is $100 per child.
Please indicate if you'd like to pay by credit card or check. You will be invoiced for either choice. *

Credit Card via Stripe (additional fee) Check
Should be Empty:

Holy Redeemer 2020-2021 PSR Registration

What will PSR look like this first semester?

GENERAL INFORMATION

STUDENT INFORMATION

FIRST CHILD

SECOND CHILD

THIRD CHILD

FOURTH CHILD

FIFTH CHILD

SIXTH CHILD

PARENT/GUARDIAN INFORMATION

CONTACT INFORMATION

DISMISSAL

MEDIA AUTHORIZATION

Parent Participation

REGISTRATION FEE