PSR Registration

FAMILY REGISTRATION

Family Name REQUIRED Please fill out this field. Please enter valid data.

Street Address REQUIRED Please fill out this field. Please enter valid data.

City REQUIRED Please fill out this field. Please enter valid data.

State REQUIRED Please fill out this field.

Zip REQUIRED Please fill out this field. Please enter a zip code.

Email REQUIRED Please fill out this field. Please enter an email address.

Are you registered at Saint Thomas Parish? REQUIRED Yes No Please fill out this field.

If no, what is your Home Parish's Name? Please enter valid data.

Parent Contact Information

Father's Last Name Please enter valid data.
Father's First Name Please enter valid data.
Father's Email Please enter an email address.
Father's Cell Number Maximum 20 characters Please enter a phone number.
Mother's Last Name Please enter valid data.
Mother's First Name Please enter valid data.
Mother's Email Please enter an email address.
Mother's Cell Number Please enter valid data.
Whose cell phone number should we try first for emergency contact? REQUIRED Father's cell phone Mother's cell phone Please fill out this field.
Whose email should be used to contact parents about PSR throughout the year? (We need at least one email as this is our primary way of contacting parents throughout the year.) REQUIRED Father's email Mother's email both parents' email Please fill out this field.

Number of Children Attending PSR REQUIRED Please fill out this field.
Student 1
- Last Name REQUIRED Please fill out this field. Please enter valid data.
- First Name REQUIRED Please fill out this field. Please enter valid data.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- PSR Grade level (usually the same as grade school grade) REQUIRED Please fill out this field.
- If Grade 2 or 8 (First Communion or Confirmation) which day would you like to attend classes?
- Name of Grade School REQUIRED Please fill out this field. Please enter valid data.
- Student Sacramental Information
- Has the Student been Baptized REQUIRED Yes No Please fill out this field.
- If Grade 2 or 8 (First Communion or Confirmation) where was your child baptized? Include parish, city and state. Please enter valid data.
- If Grade 2 or 8 (First Communion or Confirmation) when was your child baptized?
  MM/DD/YYYY
  Please enter a date.
- Has the Student received First Communion? REQUIRED Yes No Please fill out this field.
- Has the Student been Confirmed? REQUIRED Yes No Please fill out this field.
- Important Medical Information (allergies, restrictions, etc.)
Student 2
- Last Name REQUIRED Please fill out this field. Please enter valid data.
- First Name REQUIRED Please fill out this field. Please enter valid data.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- PSR Grade level (usually the same as grade school grade) REQUIRED Please fill out this field.
- If Grade 2 or 8 (First Communion or Confirmation) which day would you like to attend classes?
- Name of Grade School REQUIRED Please fill out this field. Please enter valid data.
- Student Sacramental Information
- Has the Student been Baptized REQUIRED Yes No Please fill out this field.
- If Grade 2 or 8 (First Communion or Confirmation) where was your child baptized? Include parish, city and state. Please enter valid data.
- If Grade 2 or 8 (First Communion or Confirmation) when was your child baptized?
  MM/DD/YYYY
  Please enter a date.
- Has the Student received First Communion? REQUIRED Yes No Please fill out this field.
- Has the Student been Confirmed? REQUIRED Yes No Please fill out this field.
- Important Medical Information (allergies, restrictions, etc.)
Student 3
- Last Name REQUIRED Please fill out this field. Please enter valid data.
- First Name REQUIRED Please fill out this field. Please enter valid data.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- PSR Grade level (usually the same as grade school grade) REQUIRED Please fill out this field.
- If Grade 2 or 8 (First Communion or Confirmation) which day would you like to attend classes?
- Name of Grade School REQUIRED Please fill out this field. Please enter valid data.
- Student Sacramental Information
- Has the Student been Baptized REQUIRED Yes No Please fill out this field.
- If Grade 2 or 8 (First Communion or Confirmation) where was your child baptized? Include parish, city and state. Please enter valid data.
- If Grade 2 or 8 (First Communion or Confirmation) when was your child baptized?
  MM/DD/YYYY
  Please enter a date.
- Has the Student received First Communion? REQUIRED Yes No Please fill out this field.
- Has the Student been Confirmed? REQUIRED Yes No Please fill out this field.
- Important Medical Information (allergies, restrictions, etc.)
Student 4
- Last Name REQUIRED Please fill out this field. Please enter valid data.
- First Name REQUIRED Please fill out this field. Please enter valid data.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- PSR Grade level (usually the same as grade school grade) REQUIRED Please fill out this field.
- If Grade 2 or 8 (First Communion or Confirmation) which day would you like to attend classes?
- Name of Grade School REQUIRED Please fill out this field. Please enter valid data.
- Student Sacramental Information
- Has the Student been Baptized REQUIRED Yes No Please fill out this field.
- If Grade 2 or 8 (First Communion or Confirmation) where was your child baptized? Include parish, city and state. Please enter valid data.
- If Grade 2 or 8 (First Communion or Confirmation) when was your child baptized?
  MM/DD/YYYY
  Please enter a date.
- Has the Student received First Communion? REQUIRED Yes No Please fill out this field.
- Has the Student been Confirmed? REQUIRED Yes No Please fill out this field.
- Important Medical Information (allergies, restrictions, etc.)
Student 5
- Last Name REQUIRED Please fill out this field. Please enter valid data.
- First Name REQUIRED Please fill out this field. Please enter valid data.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- PSR Grade level (usually the same as grade school grade) REQUIRED Please fill out this field.
- If Grade 2 or 8 (First Communion or Confirmation) which day would you like to attend classes?
- Name of Grade School REQUIRED Please fill out this field. Please enter valid data.
- Student Sacramental Information
- Has the Student been Baptized REQUIRED Yes No Please fill out this field.
- If Grade 2 or 8 (First Communion or Confirmation) where was your child baptized? Include parish, city and state. Please enter valid data.
- If Grade 2 or 8 (First Communion or Confirmation) when was your child baptized?
  MM/DD/YYYY
  Please enter a date.
- Has the Student received First Communion? REQUIRED Yes No Please fill out this field.
- Has the Student been Confirmed? REQUIRED Yes No Please fill out this field.
- Important Medical Information (allergies, restrictions, etc.)
Student 6
- Last Name REQUIRED Please fill out this field. Please enter valid data.
- First Name REQUIRED Please fill out this field. Please enter valid data.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- PSR Grade level (usually the same as grade school grade) REQUIRED Please fill out this field.
- If Grade 2 or 8 (First Communion or Confirmation) which day would you like to attend classes?
- Name of Grade School REQUIRED Please fill out this field. Please enter valid data.
- Student Sacramental Information
- Has the Student been Baptized REQUIRED Yes No Please fill out this field.
- If Grade 2 or 8 (First Communion or Confirmation) where was your child baptized? Include parish, city and state. Please enter valid data.
- If Grade 2 or 8 (First Communion or Confirmation) when was your child baptized?
  MM/DD/YYYY
  Please enter a date.
- Has the Student received First Communion? REQUIRED Yes No Please fill out this field.
- Has the Student been Confirmed? REQUIRED Yes No Please fill out this field.
- Important Medical Information (allergies, restrictions, etc.)
Student 7
- Last Name REQUIRED Please fill out this field. Please enter valid data.
- First Name REQUIRED Please fill out this field. Please enter valid data.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- PSR Grade level (usually the same as grade school grade) REQUIRED Please fill out this field.
- If Grade 2 or 8 (First Communion or Confirmation) which day would you like to attend classes?
- Name of Grade School REQUIRED Please fill out this field. Please enter valid data.
- Student Sacramental Information
- Has the Student been Baptized REQUIRED Yes No Please fill out this field.
- If Grade 2 or 8 (First Communion or Confirmation) where was your child baptized? Include parish, city and state. Please enter valid data.
- If Grade 2 or 8 (First Communion or Confirmation) when was your child baptized?
  MM/DD/YYYY
  Please enter a date.
- Has the Student received First Communion? REQUIRED Yes No Please fill out this field.
- Has the Student been Confirmed? REQUIRED Yes No Please fill out this field.
- Important Medical Information (allergies, restrictions, etc.)
Student 8
- Last Name REQUIRED Please fill out this field. Please enter valid data.
- First Name REQUIRED Please fill out this field. Please enter valid data.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- PSR Grade level (usually the same as grade school grade) REQUIRED Please fill out this field.
- If Grade 2 or 8 (First Communion or Confirmation) which day would you like to attend classes?
- Name of Grade School REQUIRED Please fill out this field. Please enter valid data.
- Student Sacramental Information
- Has the Student been Baptized REQUIRED Yes No Please fill out this field.
- If Grade 2 or 8 (First Communion or Confirmation) where was your child baptized? Include parish, city and state. Please enter valid data.
- If Grade 2 or 8 (First Communion or Confirmation) when was your child baptized?
  MM/DD/YYYY
  Please enter a date.
- Has the Student received First Communion? REQUIRED Yes No Please fill out this field.
- Has the Student been Confirmed? REQUIRED Yes No Please fill out this field.
- Important Medical Information (allergies, restrictions, etc.)

Student Information for Enrollment
Please be sure to scroll to the end and click submit afer you enter all the information for each child being enrolled.

ACTIVITY RELEASE

I, the parent/guardian of the above-mentioned child(ren), grant permission for my child(ren) to participate in the following activities: Saint Thomas Parish School of Religion (PSR). As parent and/or legal guardian, I remain legally responsible for any personal actions taken by the above-named minor participant(s). I agree on behalf of myself, my child(ren) named as minor participant(s) herein, or our heirs, successors, and assigns, to hold harmless and defend Saint Thomas Parish, its officers, directors, employees, and agents, and the Diocese of Covington, its employees and agents, chaperones, or representatives associated with the activities, from any claim arising from or in connection with my child(ren) participating in the activities, or in connection with any illness or injury (including death) or cost of medical treatment in connection therewith, and I agree to compensate Saint Thomas Parish, its officers, directors, and agents, and the Diocese of Covington, its employees and agents and chaperones, or representative associated with the activities for reasonable attorney's fees and expenses which they may incur in any action brought against them as a result of such injury or damage, unless such claim arises from the negligence of Saint Thomas Parish or the Diocese of Covington. With the exception of the above-listed allergies/restrictions, I hereby warrant that to the best of my knowledge, my child is in good health, and I assume all responsibility for the health of my child.

Signature (Note: by typing your name in the signature field, you are signing this agreement electronically, which is as legally binding as a regular signature.) REQUIRED Please fill out this field. Please enter valid data.

Date REQUIRED Please fill out this field. Please enter valid data.

PHOTO RELEASE

For any promotional purposes involving Saint Thomas Parish and its Parish School of Religion (PSR) programming, and/or for promotional purposes involving the ministry of Saint Thomas Parish, I, as the custodial parent/guardian of the above named minor child/children, hereby grant consent to use, and release to, Saint Thomas Parish the use of my minor child's/children's photograph(s), whether in still, motion pictures, audio and/or video tape; photographic reproductions of my minor child/children including his/her/their voice (which includes commentary, remarks, and/or recordings); my minor child's/children's features, with or without his/her/their name.

Signature (Note: by typing your name in the signature field, you are signing this agreement electronically, which is as legally binding as a regular signature.) REQUIRED Please fill out this field. Please enter valid data.

Date REQUIRED Please fill out this field. Please enter valid data.

Tuition and Fees rates are
1 child $175
2 children $275
3 children $375
4 or more children $475

PSR Registration

2025-2026 PSR Registration