St. Alban Roe Parish School of Religion Registration Form

PSR Registration

2022-2023
Welcome to the St. Alban Roe Parish School of Religion Registration(PSR) Page. You will use this site to register your child(ren) for the PSR Program as well as pay your fees.

This form will guide you through inputting your information as well as any child you would like to enroll in the PSR Program. At the end of this form you will choose the quantity for enrollment and complete payment. Once you have completed payment you will receive a confirmation email confirming your registration.

The pricing for PSR is:

1 child - $250.00
2 children - $325.00
3+ children - $400.00

Financial Aid is available by contacting the Parish Office.

While completing the registration you will be asked to approve your child(ren) participation in the Safe Touch Program (grades 1-8) & God's Own Making (grades 4-8). The full text of these documents and can be read here by clicking below.

Please note this program is only open to students in grades 1st-8th for the 2022-2023 school year.

Safe Touch Program Details

Forms to be Downloaded, Printed & Returned to the PSR before the 1st day of classes for 2022

Christian Witness - download, print, sign & return

Parent Commitment - download, print, sign & return

Emergency Card - download, print, sign & return

Media Release - download, print, sign & return

If you have any questions please reach out to the Parish Office at 636-458-2460.

Thank you

St. Alban Roe Parish School of Religion

* No Refunds after November 1, 2022

Name of Person Completing the Form *

First Name Last Name
E-mail *

Family Information

On this page please enter information for your family. Parent 1 information must be completed. If you are 2 parent household please complete Parent 2 information.
Family Name *
Parent 1 Name *

First Name Last Name
Parent 1 E-mail (Primary contact email) *
Parent 1 Cell *

Area Code Phone Number
Parent 1 Catholic *

Yes No
Parent 2 Name

First Name Last Name
Parent 2 Email
Parent 2 Cell

Area Code Phone Number
Parent 2 Catholic

Yes No
Family Primary Address *

Street Address

Street Address Line 2

City State

Zip Code
Primary Contact Phone Number *

Area Code Phone Number
Family Status *
Are you new to the PSR Program at St. Alban Roe? *

Yes No
New families to the PSR Progam must submit a copy of each child's Baptismal Certificate to the PSR Office prior to first day of classes.
Please upload your Baptismal Certificate

Upload a File

Cancel of
I would like to Volunteer *

Yes No

Volunteer Information

You can choose to volunteer in many functions to support the PSR Program at St. Alban Roe. For each position we ask that you arrive 20min early. Each position is a weekly commitment, except for the Substitute Catechist, this is an as needed position.
Choose any

Catechist Assistant Catechist Substitute Catechist - As needed PSR Drop off volunteer Desk Assistant

Child 5

Use this page to enter information for a 5th child
Child 5 Name *

First Name Middle Name Last Name
Child 5 Mother's Maiden Name *
Child 5 Birthdate *

Month Day Year
Check Sacraments Received *

Baptism Reconciliation Eucharist NONE
Child 5 Grade for 2022-2023 *
Child 5 Day School *
Child 5 - Does your Child have an IEP or receive special services in their day school? *

Yes No
Child 5 - Services
Tell us about the services your child receives
Does your Child 5 have any allergies we need to know about *

Yes No
Child 5 - Allergies
Child 5 -Is there is anything you would like to share with us?

Agreements

Copies of "Safe Touch", and "Christian Witness Statement" are available in their entirety on www.stalbanroe.org/psr. By selecting yes you are agreeing to all children enrolled.
I understand that my child(ren) will participate in the Safe Touch Program *

Yes I do not want my child(ren) to participate

Choose Your Classes

Choose the class for each child you wish to register, note the number per session you need to register. On the next page you'll enter your payment information. Classes are not secure until payment has been successfully processed.
Class Times

Mondays: 5:00pm-6:15pm & Tuesdays 6:00pm-7:15pm
Please Run the Wizard
Quantity Gift

Choose the total number of children you are registering for PSR. It will automatically calculate your multi-child discount. **There is a $5 Credit Card Processing fee per family. *

Number of children registering

$ 250.00 Quantity

Credit Card Processing Fee - Non Refundable

$ 5.00

Enter coupon

Total

$ 0.00

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Should be Empty:

PSR Registration

Family Information

Volunteer Information

Child 1 Information

Child Information #2

Child 3 Information

Child 4 Information

Child 5

Agreements

Choose Your Classes

Class Times