PSR Registration Application 2018-19

Registration Application | PSR 2018-2019

All the information entered on this application is considered confidential. The information will not be shared with an outside entity. The information provided will be used only for purposes pertaining to the Parish School of Religion (PSR) at Immaculate Conception-Baton Rouge and with the Office of Child and Youth Protection in the Diocese of Baton Rouge.


STUDENT'S INFORMATION


CHILD'S SACRAMENT INFORMATION (Sacraments: First Holy Communion and Confirmation)

FIRST HOLY COMMUNION

NOTE: If this child will be preparing for his/her First Holy Communion at Immaculate Conception in Spring 2019, a $10 Sacrament Fee must be paid in addition to the PSR Registration Fee.

**A child is eligible for First Holy Communion if he/she: has been baptized already; will be enrolled in a 2nd, 3rd, or 4th Grade PSR Class at ICCC during 2018-19; and has not received First Holy Communion yet.

CONFIRMATION

NOTE: If this child will be preparing for his/her Confirmation at Immaculate Conception in Spring 2019, a $10 Sacrament Fee must be paid in addition to the PSR Registration Fee.

**A child is eligible for Confirmation if he/she: has been baptized already or will receive the Profession of Faith at ICCC during Holy Week 2019; will be enrolled in the 11th Grade PSR Class at ICCC during 2018-19; and has received First Holy Communion already.


STUDENT'S ADDRESS [Where PSR Information Will Be Mailed]


MOTHER'S INFORMATION [Biological/Adoptive]


FATHER'S INFORMATION [Biological/Adoptive]


GUARDIAN'S INFORMATION [Other Than Biological/Adoptive Parent]


EMERGENCY CONTACT'S INFORMATION


REGISTRATION FEE(S)

PSR REGISTRATION FEE(S)
One (1) Child Enrolling = $25
Each Child Enrolling after First Child = $15 per Child

SACRAMENT FEE(S) FOR SPRING 2019 PREPARATION
First Holy Communion = $10 per Child
Confirmation = $10 per Child

FEE(S) PAYABLE IN CASH, BY CHECK OR ONLINE
**Receipt(s) will be given as proof of payment for cash and check payments.
**Make check(s) payable to "Immaculate Conception". Write "PSR 2018-19" in memo section of check(s).
**For online payment(s): Go to "Online Giving" tab. Click "Give Online With WeShare" box. Click "Parish School of Religion" box. At "Make A One Time Donation", click "Click Here" to make payment. Will receive confirmation number as proof of payment.


LIABILITY WAIVER


PHOTO | VIDEOTAPE RELEASE

NOTE: Please click the "I'm not a robot" button before clicking the Submit button.

 
 

Are You Still Working?

Your time to complete the form is about to expire due to inactivity. Please click "Continue Working" to complete the form and submit, otherwise your changes will be lost.

Your session will expire in 60 seconds.

Your session has expired

Your time to complete the form has expired due to inactivity. Please click the button below or refresh the page with your browser and try again.