PSR Registration Form Registration for New students and returning students St. John Vianney Parish School of Religion (Gr. 1-8)Complete this form for each child to be registered.When the box turns red it is incorrectly entered fix the entry before you continue.Click Submit after completing each form. Childs Name * First Name and Last Name Fathers Name * First Name and Last Name Mothers Full Name (Include Maiden Name) * Mothers First Name, Last Name and Maiden Name Address * Street, City and Zip Phone Number * Best Phone number to reach parent Phone Number to reach a parent during PSR times * Email Address Child's Birthday * Birthplace * City and State Child Lives With: * Custodial Parent: Religion of Mother Relgion of Father Which PSR option are you registering for? Sunday PSR classes Home Study PSR Grade in 2017-18 * Public School Child Attends * Are you a registered member of St. John Vianney? * Yes No If No, which parish are you a member of? Special Circumstances: i.e. attention deficit, learning disabled, asthma, allergies, illnesses, etc. Sacraments Only needs to be filled out for new students Child's Church of Baptism Church and City/State Date of Baptism Child's Reconciliation (Penance) Church and City/State Date of Reconciliation Child's First Communion Church and City/State Date of First Communion Child's Confirmation Church and City/State Date of Confirmation Click Submit below When all information is complete. Click the Submit button below to send the form through to the PSR office. Please send a separate email to the PSR office at email@example.com indicate the names of the children you registered via this form.