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News & Events
Our Faith
Sacraments
Parish Life
School
About Us
- History
- Staff
- Contact

Support Our Parish

News & Events
Our Faith
Sacraments
Parish Life
School
About Us
- History
- Staff
- Contact

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Report Abuse
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PSR Online Registration Open

July 30, 2021 | Faith Formation, PSR - Parish School of Religion, Religious Education

Holy Rosary & St. Stephen PSR Registration (1)

"*" indicates required fields

In which Parish is your family registered?*

Parent/Guardian Information

Parent/Guardian 1 Name*

First Last

Parent/Guardian 2 Name

First Last

Parent/Guardian 1 Email Address*

Parent/Guardian 2 Email Address

Address*

Street Address Address Line 2 City State ZIP Code

Parent/Guardian 1 Primary Phone Number*

Parent/Guardian 2 Primary Phone Number

I would be willing to volunteer for the PSR Program as the following:

Teacher

Aide

Substitute

Chaperone

Provide Food/Snacks

Be an out of town driver for events

Emergency Contact Information

Emergency Contact other than Parent/Guardian*

Grandparent/Aunt/Uncle...someone that can be reached if we are unable to reach the parents/guardians.

Emergency Primary Phone Number*

Emergency Contact Secondary Phone Number

Student Section

How many students are you registering?*

Student #1

Student #1 Name

Please fill out student's full name.

First Middle Last

Student #1 Birthdate

MM slash DD slash YYYY

Student #1 Grade Level

Please select Student's grade level

Church of Baptism

Please enter the name of the Church and the City & State in which it is located.

Student #1 Sacraments Received

Please check all the Sacraments your child has received.

Baptism

Reconciliation

Eucharist

Confirmation

Chosen Youth Group

If your child is in high school, would they be interested in the Chosen Youth Group on Wednesday evenings?

Yes

Maybe

SEC Middle School Youth Group

If your child is in 7th or 8th grade, would they be interested in the SEC Youth Group?

Yes

Maybe

Does your child have any health concerns and/or food allergies that we should know?

Yes

If Yes, please explain...

Student #2

Student #2 Name

Please fill out student's full name.

First Middle Last

Student #2 Birthdate

MM slash DD slash YYYY

Student #2 Grade

Please select Student's grade level

Church of Baptism*

Please enter the name of the Church and the City & State in which it is located.

Student #2 Sacraments Received

Please check all the Sacraments your child has received.

Baptism

Reconciliation

Eucharist

Confirmation

Chosen Youth Group

If your child is in high school, would they be interested in the Chosen Youth Group on Wednesday evenings?

Yes

Maybe

SEC Middle School Youth Group

If your child is in 7th or 8th grade, would they be interested in the SEC Youth Group?

Yes

Maybe

Does your child have any health concerns and/or food allergies that we should know?

Yes

If Yes, please explain...

Student #3

Student #3 Name

Please fill out student's full name.

First Middle Last

Student #3 Birthdate*

MM slash DD slash YYYY

Student #3 Sacraments Received

Please check all the Sacraments your child has received.

Baptism

Reconciliation

Eucharist

Confirmation

Student #3 Grade

Please select Student #1 grade level

Church of Baptism

Please enter the name of the Church and the City & State in which it is located.

Chosen Youth Group

If your child is in high school, would they be interested in the Chosen Youth Group on Wednesday evenings?

Yes

Maybe

SEC Middle School Youth Group

If your child is in 7th or 8th grade, would they be interested in the SEC Youth Group?

Yes

Maybe

Does your child have any health concerns and/or food allergies that we should know?

Yes

If Yes, please explain...

Student #4

Student #4 Name

Please fill out student's full name.

First Middle Last

Student #4 Birthdate

MM slash DD slash YYYY

Student #4 Sacraments Received

Please check all the Sacraments your child has received.

Baptism

Reconciliation

Eucharist

Confirmation

Student #4 Grade

Please select Student's grade level.

Church of Baptism

Please enter the name of the Church and the City & State in which it is located.

Chosen Youth Group

If your child is in high school, would they be interested in the Chosen Youth Group on Wednesday evenings?

Yes

Maybe

SEC Middle School Youth Group

If your child is in 7th or 8th grade, would they be interested in the SEC Youth Group?

Yes

Maybe

Does your child have any health concerns and/or food allergies that we should know?

Yes

If Yes, please explain...

Student #5

Student #5 Name

Please fill out student's full name.

First Middle Last

Student #5 Birthdate

MM slash DD slash YYYY

Student #5 Sacraments Received

Please check all the Sacraments your child has received.

Baptism

Reconciliation

Eucharist

Confirmation

Student #5 Grade

Please select Student's grade level

Church of Baptism

Please enter the name of the Church and the City & State in which it is located.

Chosen Youth Group

If your child is in high school, would they be interested in the Chosen Youth Group on Wednesday evenings?

Yes

Maybe

SEC Middle School Youth Group

If your child is in 7th or 8th grade, would they be interested in the SEC Youth Group?

Yes

Maybe

Does your child have any health concerns and/or food allergies that we should know?

Yes

If Yes, please explain...

Student #6

Student #6 Name

Please fill out student's full name.

First Middle Last

Student #6 Birthdate

MM slash DD slash YYYY

Student #6 Sacraments Received

Please check all the Sacraments your child has received.

Baptism

Reconciliation

Eucharist

Confirmation

Student #6 Grade

Please select Student's grade level

Church of Baptism

Please enter the name of the Church and the City & State in which it is located.

Chosen Youth Group

If your child is in high school, would they be interested in the Chosen Youth Group on Wednesday evenings?

Yes

Maybe

SEC Middle School Youth Group

If your child is in 7th or 8th grade, would they be interested in the SEC Youth Group?

Yes

Maybe

Does your child have any health concerns and/or food allergies that we should know?

Yes

If Yes, please explain...

PSR Fees

Price

Please select the number of students you are registering. 1 Student - $15.00; 2 Students - $25.00; 3 or more Students - $30.00

1 Student

2 Students

3 or more Students

Total

CAPTCHA

You may click below to pay PSR fees online; if you do not wish to pay online, click the button below and skip the payment page -you can place a check - made out to "Holy Rosary Religious Education" or cash in an envelope marked "PSR Fees" in the basket at church or mail to:

Holy Rosary Church
Attn: Donna Long
405 S. Main St.
Monroe City, MO 63456

This field is for validation purposes and should be left unchanged.

← Bulletin – August 1, 2021

RCIA to Begin! →

573-231-6980 | 27519 Monroe Rd 533, Monroe City, MO 63456
ststephenic.diojeffcity.org

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PSR Online Registration Open

Holy Rosary & St. Stephen PSR Registration (1)

Parent/Guardian Information

Emergency Contact Information

Student Section

Student #1

Student #2

Student #3

Student #4

Student #5

Student #6

PSR Fees