• St. Francis of Assisi Parish

    School of Religion

    203 E. Main St.

    Teutopolis, IL 62467

    217-857-6477

  • PSR Registration Form

    School Year 2022-23
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  • If No, what parish or Church are you registered with?

  • Child(ren) Names: Grade 1-12th
    Child's Name:
    Child's Grade:
    Church Baptized      
    School Child Attends:     

  • Child's Name:       
    Child's Grade:
    Church Baptized      
    School Child Attends:     

  • Child's Name:       
    Child's Grade:
    Church Baptized      
    School Child Attends:     

  • Child's Name:       
    Child's Grade:
    Church Baptized      
    School Child Attends:     

  • Child's Name:       
    Child's Grade:
    Church Baptized      
    School Child Attends:     

  •       I want my child/children to participate in the Religion Program.(type yes or no) (The children will receive a text to use and other materials.) Bills for these materials are $40 per child or a $100 maximum per family yearly to be paid to St. Francis Church, 203 E Main St, Teutopolis, IL 62467 by the end of November if possible.
          I want my child/children to be supervised from 7:15 am - 7:50 am by the St. Francis Religious Education Program volunteers. (type yes or no)
    I want my child/children to receive the sacraments with St. Francis of Assisi Parish. If your child was not baptized in St. Francis of Assisi Church, we neeed a copy of the child's baptismal certificate or record. (type yes or no)

  • The following child(ren) will not participate in the Personal Training Sessions: ,       

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  • Please note:  If your grade 1 child was baptized in another parish other than St. Francis, please forward to us a copy of the Baptismal record. If you cannot locate the Baptismal record, please contact the parish of your child’s Baptism, and request a copy of the Baptismal record to be forwarded to St. Francis Religious Education Office. We will in turn make a copy for our records and mail the original record back to you. As always, thanks for your cooperation.

  • Medical Information:

  • If your child has any medical or special health issues we should know about, please list the child’s name and information about the condition.

  • Child: Condition:
    Child:      Condition:      
    Child:      Condition:      

  • Emergency Contact:

    In case of an emergency, who else could we contact if you are unavailable?
  • Contact: Phone:                         
    Contact:  Phone:                     

  • Photo Consent:

    We may take pictures on occasion, if so we need your permission.
  • Volunteer to Help:

    For a program that uses volunteers to be successful we are still in need of help. If you can help please indicate the way you can help by filling out the spaces below.
  • Grade School Morning Building Supervision: 7:15-7:50 a.m.
                               

  • Grade 1-6 Teaching or Walking Students: 7:50-8:45 a.m.
                        
                                  

  • Grade 7 and 8 Help 7:20-8:30 p.m. Wednesday—September to April:
                    

  • High School Help 7:20-8:30 p.m. Wednesday—September to April:
                 

  • All volunteers need to have taken “Protecting God’s Children” class.

     

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  • Should be Empty: