PSR Registration Form 2025-26

PSR REGISTRATION - After completing this form, please click the payment button to pay your PSR registration fees.

FIRST CHILD

Please list any facts concerning the child's medical histories, including allergies, medications etc to which we should be alerted  Is your child on an IEP we should be aware of?  

SECOND CHILD

Please list any facts concerning the child's medical histories, including allergies, medications etc to which we should be alerted  Is your child on an IEP we should be aware of?  

THIRD CHILD

Enter your free text here

FOURTH CHILD

Please list any facts concerning the child's medical histories, including allergies, medications etc to which we should be alerted  Is your child on an IEP we should be aware of?  

Photo / Project Release

St. Peter Parish requests your consent for youth leaders and parish staff to publish your student (s)' work and/or photo on their website and social media pages to be used for publicity.  These items are sometimes also provided to media outlets.  As the parent or legal guardian, by checking "I Agree" below you are consenting use to your child/children's work and photo to be used on the St. Peter website or in other publicity.  This consent will remain in effect until a request is made for it to be terminated.

Part 1 or Part 2 must be completed

PART 1

Emergency Medical Consent

In the event that reasonable attempts to contact us at the above numbers have been deemed unsuccessful, I hereby give my consent for the administration of any treatment deemed necessary by the medical professionals I identify below OR in the event that my preferred practicioner is not available by any other licensed physician, dentist, or hospital reasonably accessible for my child / children.

OR

PART 2

After clicking SUBMIT, you must go back and click the PAYMENT button to pay your PSR FEES.  Thank you!