PSR Registration

Sacramental Information

Please indicate where your child/children received sacraments.  We will require records from parishes other than St. Patrick, St. Malachi or St. Wendelin.  Please bring the records to Catechetical Leader or UCS Faith Formation Director.

(Please use the “Additional Information” field at the end of the final page of this form if you have sacramental information about other children.)

Health and Medical Information

In the event your child requires emergency medical treatment while with us, we will first attempt to contact you for instructions. In the event we are unable to reach you, please, please specify your desires (select only one below)

If consent is granted, complete the following

Photo Release

Called to Protect

Parent Volunteer

Additional Information

50%
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