PSR Registration Form 2026-2027
Our PSR classes are intended for parish children attending public school whose families wish them to be formed in the Catholic faith. We offer faith formation for children in pre-school (age 4) through 8th grade. Classes are held on Sunday mornings during the academic year August through April. Classes will begin Sunday, August 30, 2026 from 9:45 am -10:45 am in the St. Patrick School building. Our fees for parish families of Saint Katharine Drexel Parish are $35 for one child or $60 for two or more children. Fees can be paid by check or through "myEoffering". Make certain you choose PSR Registration Fees under the account tab.
Student's Full Name
*
First Name
Middle Name
Last Name
Student's Date of Birth
*
-
Month
-
Day
Year
Date
Student's Date of Baptism
*
-
Month
-
Day
Year
Date
Location of Baptism:
*
Church Name
Street Address
City
State / Province
Postal / Zip Code
Did your child attend PSR last year?
*
Yes
No
Where did they attend religious education last year?
*
Attended PSR (Former parishes of Saint Katharine Drexel Parish)
Enrolled as a student at St. Patrick School
Other location
This is my child's first year
PSR Grade for the 2026-2027 school year:
*
Kindergarten/pre-K
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Please mark Sacrament preparations being requested for THIS YEAR (*Please also complete a Sacramental Prep Registration Form):
*
First Reconciliation/First Eucharist
Confirmation
None
Father's Name
*
First Name
Last Name
Father's Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Father's Email
*
example@example.com
Mother's Name
*
First Name
Last Name
Mother's Maiden Name:
*
Maiden Name
Mother's Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Mother's Email
*
example@example.com
Legal Guardian (If other than Mother or Father):
First Name
Last Name
Legal Guardian Phone Number (If other than Mother or Father):
Please enter a valid phone number.
Format: (000) 000-0000.
Family Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Cell Phone Number in Case of Emergency
*
Please enter a valid phone number.
Format: (000) 000-0000.
Alternate Emergency Contact (In case a parent/guardian cannot be reached)
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Parish membership:
*
Saint Katharine Drexel Parish
Other
Please list the names of persons that the student is permitted to be released to in addition to parents/legal guardians: (parish must be notified in writing if this changes)
Name
Relationship to the Student
Name
Relationship to the Student
Name
Relationship to the Student
Name
Relationship to the Student
In the event reasonable attempts to contact me have been unsuccessful:
*
I GIVE my consent for the transfer of my child to any hospital that is accessible and the administration of any treatment deemed necessary by the attending physician. This authorization does not cover major surgery unless in the medical opinion of two other licensed physicians or dentists such surgery is absolutely necessary and these opinions are obtained prior to the performance of surgery
I DO NOT GIVE my consent to emergency medical treatment. If selected, describe desired action to be taken below:
Medical or Special Educational Concerns
Please indicate any information that would be helpful in the case of an accident or an emergency. Include any allergies, physical impairments and/or medication your child takes on a regular basis. ALSO, you may use this area to give any information of which you would like your child’s instructor to be aware (learning needs). Attach an extra page if necessary.
Permission For Name And/Or Image Use
Please Indicate Below:
*
I GIVE permission for my child's name or image to be included in publicity releases about parish events in the bulletin, parish website, parish Facebook page, and local or diocesan newspaper.
DO NOT use my child’s name or image in public media.
In completing and submitting this form I am requesting Saint Katharine Drexel to provide religious education for my child. I have provided the information above and I understand that any changes must be submitted in writing to the parish office.
*
Date
*
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Month
-
Day
Year
Date
Continue
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