2026-2027 SEAS PSR Registration Form

2026-2027 SEAS PSR Registration Form
Public School of Religion (PSR) is for students who do not attend catholic school to ensure they get Catholic formation that is in line with the Wichita Diocesan recommendations for Catholic education.

WHEN: Every Wednesday night from 6:30-7:30 pm from September to May (specific dates are giving in September).

WHERE: Meet in the Gathering Space of the church and is dismissed to separate classrooms with a catechist.

COST: $10 per family for supplies. Religion books are used in class, but are not given to families.

HOMEWORK: ONLY 1-2 prayer memorization throughout the year.

DISMISSAL: K-2nd grade students must be picked up in the classroom. 3rd grade and older students are released from the classroom to meet parents in the gathering space or carline.

We have dedicated catechists who are excited to teach your students highlighted elements from the diocesan curriculum in fun and engaging ways appropriate for each grade.
Parent's Name

First NameLast Name
Phone #:
Format: (000) 000-0000.
Email Address:
example@example.com
Address:
Emergency Contact #
Format: (000) 000-0000.
If the family is NOT registered at St. Elizabeth Ann Seton Catholic Parish, please indicated where the family is registered.
I am interested in volunteering at PSR
Child 1 Information
Child 1 Name

First NameLast Name
Child 1 Birthday Date

MonthDayYear
Date
Child 1 Grade
Has the child recieved the following sacaraments?

If unknown, please choose no.
Child 1 Baptism
Child 1 Reconciliation (confession)
Child 1 1st Communion
Child 1 Confirmation
Child 1 Allergies
Child 1 Special Services/Custodial Arrangements/Medical Conditions/Concerns/Medications:
Do you have more children to register?
Child 2 Information
Child 2 Name

First NameLast Name
Child 2 Birthday Date

MonthDayYear
Date
Child 2 Grade
Has the child recieved the following sacaraments?

If unknown, please choose no.
Child 2 Baptism
Child 2 Reconciliation (confession)
Child 2 1st Communion
Child 2 Confirmation
Child 2 Allergies
Child 2 Special Services/Custodial Arrangements/Medical Conditions/Concerns/Medications:
Do you have more children to register?
Child 3 Information
Child 3 Name

First NameLast Name
Child 3 Birthday Date

MonthDayYear
Date
Child 3 Grade
Has the child recieved the following sacaraments?

If unknown, please choose no.
Child 3 Baptism
Child 3 Reconciliation (confession)
Child 3 1st Communion
Child 3 Confirmation
Child 3 Allergies
Child 3 Special Services/Custodial Arrangements/Medical Conditions/Concerns/Medications:
Do you have more children to register?
Child 4 Information
Child 4 Name

First NameLast Name
Child 4 Birthday Date

MonthDayYear
Date
Child 4 Grade
Has the child recieved the following sacaraments?

If unknown, please choose no.
Child 4 Baptism
Child 4 Reconciliation (confession)
Child 4 1st Communion
Child 4 Confimation
Child 4 Allergies
Child 4 Special Services/Custodial Arrangements/Medical Conditions/Concerns/Medications:
Do you have more children to register?
Child 5 Information
Child 5 Name

First NameLast Name
Child 5 Birthday Date

MonthDayYear
Date
Child 5 Grade
Has the child recieved the following sacaraments?

If unknown, please choose no.
Child 5 Baptism
Child 5 Reconciliation (confession)
Child 5 1st Communion
Child 5 Confimation
Child 5 Allergies
Child 5 Special Services/Custodial Arrangements/Medical Conditions/Concerns/Medications:
Do you have more children to register? (if yes please add all additional children information in the box below).
Additional Children (list name, birthday, grade, sacraments already received and any other special services, conditions or concerns we should know about:
K-2nd Religious Education Parental Consent For Student Pick-Up:

3rd grade and older will be dismissed from the classroom to meet parents in the gathering space or carline.
I give permission for (list all who routinely will pick up students)
to pick up (list all students K-2nd grade) at their room Wednesday evenings.
If you have questions, please contact me at
Code of Behavior: I agree to abide by and/or instruct Student(s) to abide by all rules and regulations as outlined by the aforementioned chaperones/representatives. I agree that if I/Student(s) fail(s) to abide in any way by the rules, that I/Student(s) can be dismissed from the trip/event and sent home immediately at my/Participant’s expense with no right of reimbursement or refund for any amount in connection therewith from the Catholic Diocese of Wichita or its chaperones/representatives.
Parent Signature
Payment
Electronic PSR book and material fee: $11 per family
prevnext( X )
PSR Fee
fee for materials and supplies.

$11.00

Total

$0.00
Payment Methods

Fastlane Checkout

Choose from one of the PayPal options to make your payment.

Contact Info

Payment Info
Should be Empty:

2026-2027 SEAS PSR Registration Form

Child 1 Information

Child 2 Information

Child 3 Information

Child 4 Information

Child 5 Information

K-2nd Religious Education Parental Consent For Student Pick-Up:

Electronic PSR book and material fee: $11 per family

Payment Methods