PSR Registration Form

In which program would you like to register your child?
Parent or Guardian Information
Please provide us with the contact information for the child(ren)'s parent(s) or guardian(s).
Father's Name
Father's Name
Mother's Name
Mother's Name
Mailing Address
Mailing Address
We use this address to send information regarding the Parish School of Religion. Please make sure this is a working address.
Father's Cell Phone
Father's Cell Phone
Mother's Cell Phone
Mother's Cell Phone
Note: We will add your cell pone and email to Flocknote, a service that allows us to communicate PSR information to you.
Additional Mailings
If you're divorced, would you like us to send information to both parents?
Additional Mailing Address
Additional Mailing Address
Please enter an additional address where you would like us to send PSR information mailings. If this doesn't apply, please go to the next field.
Please tell us at which church parish you are presently registered.
Please list it here.
Important Note Regarding Placement:
NOTA BENE: In order for your child to be admitted to First Holy Communion, it is mandatory for them to attend our First Grade PSR class. If he or she did not attend First Grade, they will not be promoted to Second Grade PSR.
Student Information
Please enter your child(ren)'s information here.
Child's Name
Child's Name
Date of Birth
Date of Birth
What school is your child attending?
What Parish School of Religion grade will your child be entering?
Does your child have any allergies or Medical conditions of which we should be made aware? Please list them here
Emergency Contact
Emergency Contact
In case of an emergency, who should we contact?
Emergency Contact Phone
Emergency Contact Phone
Date of Baptism
Date of Baptism
When was your child baptized?
At which church was your child baptized?
Note:
If your child was not baptized in one of our three churches you must provide us with a copy of the child’s baptismal certificate from the Church where your child was baptized.
First Holy Communion
Has your child received his or her First Holy Communion?
If you answered "yes" to the above question, please tell us at which church parish this occured.

Registration Fees

Kindergarten through 10th Grade: $25.00


The following retreat and sacramental preparation fees must be paid in addition to the registration fee:


Retreat Fees

9th & 10th Grade Retreat Fee: $20.00

Sacramental Preparation Fee

Sacramental Fee (2nd Grade Only): $20.00


We ask that you make personal checks payable to
St. Frances Xavier Cabrini Church.

Completed registration forms can be dropped in drop box in front of Parish Office, weekend collection with the notation “PSR Registration” or mailed to:  The TriParish Pastoral Center, 11140 Highway 77, Maringouin, LA 70757

Note! Please do not let an inability to pay prevent you from registering your child for religious instruction.  However, we do ask that you notify the office so that a notation may be made on your registration form.