Faith Formation Registration Form

Registration Location

In which program would you like to register your child?

St. Joseph Immaculate Heart of Mary St. Frances Xavier Cabrini

Please provide us with the contact information for the child(ren)'s parent(s) or guardian(s).

Parent/Guardian Information

Father's Name
First Name Please enter valid data.

Last Name Please enter valid data.
Mother's Name
First Name Please enter valid data.

Last Name Please enter valid data.
Mailing Adress REQUIRED
Mailing Address We use this address to send information regarding the Parish School of Religion. Please make sure this is a working address.
Please fill out this field. Please enter valid data.
Address Line 2
If there is a PO Box, Apartment Number, or Suite please put that here.
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.
Father's Cell Phone Maximum 20 characters Please enter a phone number.
Mother's Cell Phone REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
Email Address REQUIRED
Please provide a working email address
Please fill out this field. Please enter an email address.
Marital Status
Please help us understand your marriage situation so we can provide the best spiritual care for you and your child.

Note: We will add your cell phone and email to Flocknote, a service that allows us to communicate PSR and other pertinent parish information to you.

Release of PSR Information to Additional Party

Let us know if you'd like another person (a grandparent or guardian for example) to receive PSR information related to your child(ren).

I would like PSR information sent to another contact as well.

Name Please enter valid data.

Address Please enter valid data.

City Please enter valid data.

State

Zip Please enter a zip code.

Church Parish Registration

Please tell us at which church parish you are presently registered.

Parish Registration REQUIRED Please fill out this field.

Registered in Another Parish?

Please list the other church parish if not listed above.

Please enter valid data.

Important Note Regarding Class Level 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.