We must have your permission to contact you by email. If you would like to receive PSR communication via email, please select 'yes' and enter a primary email address when prompted.
Volunteers are ALWAYS needed and appreciated. All volunteers must be fingerprinted and have a BCI background check and attend the Protecting God's Children diocesan workshop. Please check any duties that interest you.
I. 2017-18 TUITION COSTThese fees apply to all children participating in our 2017-18 PSR Program.
II. 2017-18SACRAMENT COSTSComplete these fees only if your child/ren will be receiving First Eucharist and/or Confirmation in Spring 2018. The cost per child per sacrament is $20. Your cost will be calculated for you based on your entries below.
III. EARLY REGISTRATION DISCOUNTYou may deduct the family registration fee if you register by May 31, 2017. Please select your option below.
TOTAL BALANCE DUE & PAYMENTA minimum payment of $20 is required with registration. Upon receipt of this registration, we will invoice you for the payment amount you specify below. An invoice will be emailed to you if you have provided an email, otherwise it will be mailed and payable in full at the first day of class.
Special Medical/Educational Needs This information should be updated yearly.
From the list of Medical Concerns or Conditions, below, please identify any that apply to your child/ren. Please identify the child's name with the condition. This will help us understand what needs your child/ren may have in the classroom.
Medical AuthorizationIn case of emergency, I understand St. Pius X Religious Education will make every effort to contact me or other designated parent or guardian:
Other designated Emergency Phone Numbers:
However, if they cannot reach me or a designated person, I give my permission to take my child for emergency treatment. I release St. Pius X Religious Education and St. Pius X Church, staff, and volunteers from all liability of any kind which may arise from such emergency.
ACCEPTANCE OF MEDICAL AUTHORIZATION TERMSI have read and agree to the terms for Medical Authorizaiton. My typed signature here, consisting of my first name and my last name, is my acceptance of these terms.
If you have a tablet or mouse, please sign this authorization by drawing your signature in the box below. With a mouse, place the cursor in the box provided and depress the left button. Hold this button while you draw your signature. With a tablet, use your stylus or finger to draw your signature in the box provided.