PSR Registration Form

Registration for New students and returning students
St. John Vianney Parish School of Religion (Gr. 1-8)

First Name and Last Name
First Name and Last Name
Mothers First Name, Last Name and Maiden Name
Street, City and Zip
Best Phone number to reach parent
City and State
i.e. attention deficit, learning disabled, asthma, allergies, illnesses, etc.

Sacraments

Only needs to be filled out for new students
Church and City/State
Church and City/State
Church and City/State
Church and City/State