2025-26 PSR Registration

Assumption PSR Registration (Grades 1 - 8)
Please register each child separately.

Families new to Assumption PSR must provide a copy of Baptismal Certificate for each child registered.

PSR Tuition is $75.00 and classes will begin Monday, August 25, 2025.

Please note: to register for the Pre-K PSR program, please click here. This will redirect you to the Pre-K registration portal.
Student Information
Name

First NameLast Name
Last Grade Completed
Birth Date

MonthDayYear
Place of Birth
City / State of Birth
Doctor for Emergency
Phone Number for Doctor
Health Issues / Special Needs
BAPTISM: Date / Church / City & State
1ST COMMUNION: Date / Church / City & State
CONFIRMATION: Date / Church / City & State
Family Information
Family Last Name
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Cell Phone Number (Mother)

Area CodePhone Number
Cell Phone Number (Father)
Please enter a valid phone number.

Emergency Contact Person
Name

First NameLast Name
Relationship
Phone Number

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Father's Information:
Father's Name

First NameLast Name
Religion
Baptized: (Yes / No) and Church?
1st Communion: (Yes / No) and Church?
Confirmed: (Yes / No) and Church?
Mother's Information:
Mother's Name

First NameLast Name
Religion
Baptized: (Yes / No) and Church?
1st Communion: (Yes / No) and Church?
Confirmed: (Yes / No) and Church?
Marital Status
If divorced, who has legal custody?

My Products

PSR Registration

$75.00 Quantity

Total

$0.00

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

Should be Empty: