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PSR Registration

The PSR year will be Wednesday, September 3, 2025 – Wednesday, May 13, 2026. Meeting times are 6:30 pm – 7:45 pm for Grades 1 – 8.

Registration

Early bird pricing (below) is now through July 20, 2025 (there will be a $50 increase in the listed tuition rates on July 21, 2025):

1 child tuition: $225
2 child tuition: $325
3 child tuition: $400

Fees per Grade Level are due at the time of registration, in addition to tuition:

2nd Gr. Sacramental Material Fee: $40
3rd Gr. Bible Material Fee: $40
6th Gr. Bible Material Fee: $40
8th Gr. Sacramental Material Fee: $60

Private School Confirmation Preparation Registration Fee: $100

Online registration, tuition and all fees are due by July 20, 2025. All required forms are due prior to the first day of class.

REGISTRATION IS NOT COMPLETE AND STUDENT(S) WILL NOT BE ENROLLED UNTIL FULL PAYMENT HAS BEEN MADE AND ALL REQUIRED FORMS ARE SUBMITTED. Required forms may include baptism certificate (if student is new or in first grade) and custody arrangement documentation for approved pick up persons, if applicable.

Family Name *

First and Last Name of Person Completing this Registration *

Relationship to Student *

Street *
Apt, floor, suite, etc.

City *
State *
Zip *

Parish *

If your home parish is not Annunciation or Our Lady of Providence, we will let your home parish know that your child(ren) are attending Annunciation PSR.

Number of Students Registering *

Student Lives With *

Witness Statement

I have read the Witness Statement and I commit myself to be the first and best teacher of my children in their faith. *

INFORMATION FOR STUDENT 1

Student First Name *
Middle Initial *
Last Name *
Goes By

Date of Birth *
Gender *

School Attending *

Grade Level 2025-2026 *

For students entering grade 1 or new students:

A copy of your baptism certificate must be requested from the parish the child was baptized and turned into rectory.

Baptism Date
Baptism Parish and Address

For new students only

First Reconciliation Date
First Reconciliation Parish

First Communion Date
First Communion Parish

For all students

What would you like us to know about your child to help PSR staff in meeting your child’s medical, emotional, spiritual, and learning needs?

Does your child have an IEP (Individualized Education Program)? *

Does child have allergies we need to be aware of? *

INFORMATION FOR STUDENT 2

Student First Name
Middle Initial
Last Name
Goes By

Date of Birth
Gender

School Attending

Grade Level 2025-2026

For students entering grade 1 or new students: A copy of your baptism certificate must be requested from the parish the child was baptized and turned into rectory.

Baptism Date
Baptism Parish and Address

For new students only

First Reconciliation Date
First Reconciliation Parish

First Communion Date
First Communion Parish

For all students

What would you like us to know about your child to help PSR staff in meeting your child’s medical, emotional, spiritual, and learning needs?

Does your child have an IEP (Individualized Education Program)?

Does child have allergies we need to be aware of?

INFORMATION FOR STUDENT 3

Student First Name
Middle Initial
Last Name
Goes By

Date of Birth
Gender

School Attending

Grade Level 2025-2026

For students entering grade 1 or new students: A copy of your baptism certificate must be requested from the parish the child was baptized and turned into rectory.

Baptism Date
Baptism Parish and Address

For new students only

First Reconciliation Date
First Reconciliation Parish

First Communion Date
First Communion Parish

For all students

What would you like us to know about your child to help PSR staff in meeting your child’s medical, emotional, spiritual, and learning needs?

Does your child have an IEP (Individualized Education Program)?

Does child have allergies we need to be aware of?

PARENT INFORMATION

Mother

Mother's First Name *
Mother's Last Name *
Mother's Maiden Name *

Living or Deceased? *
Marital Status *
Mother's Religion *

Stepfather's First Name

Stepfather's Last Name

Father

Father's First Name *
Father's Last Name *

Living or Deceased? *
Marital Status *
Father's Religion *

Stepmother's First Name
Stepmother's Last Name

CONTACT INFORMATION

If not previously entered, the email addresses and phone numbers below will be entered into Annunciation’s Flocknotes (PSR group) so that you will receive communications regarding PSR activities.

Primary Phone *

Belongs To *

Type of Phone *

Primary E-mail *

Secondary Phone
Belongs To

Type of Phone

Secondary E-mail

EMERGENCY CONTACT INFORMATION

If we cannot reach the primary/secondary phone:

Emergency Contact Name *

Emergency Contact Phone *
Relationship to Child/ren *

DISMISSAL

Information regarding our Sign Out Policy.

Additional people allowed to pick-up my children (other than mother/father) *

Authorization for Safe Touch Program

I authorize Annunciation PSR to present the Archdiocese’s Safe Touch Program to my child at age appropriate level. *

ANNUNCIATION PSR MEDIA AUTHORIZATION

For marketing and publicity purposes, there may be times when Annunciation PSR wishes to use your and/or your child(ren)’s image, name, recording, or academic work in various media for marketing and/or publicity purposes. Our purpose for asking is to mainly use in the bulletin and on the website. As a parent, you may grant or deny authorization.

I grant permission to use my or my child(ren)’s image, name, recording, or academic work in communications that include, but are not limited to, the parish bulletin, PSR newsletter, parish website, social media, PSR Buzz book, PSR Yearbook.
Parish Bulletin *
Parish Website *
Social Media *

PSR Newsletter *
PSR Buzz Book (Includes photos, names, address and phone numbers) *
PSR Yearbook (Includes photos and names only) *

ARCHDIOCESE MEDIA AUTHORIZATION

I grant permission to use my or my child/ren's image, name recording or academic work in communications that include, but are not limited to, archstl.org, St. Louis Review, Catholic St. Louis magazine, archdiocesan social media, and any publications (s) by agencies administered by the Archdiocese of St. Louis.
Archdiocese of St. Louis *

I grant permission to use my or my child/ren's image, name, recording, or academic work in websites, videos, and publications created by independent foundations and corporations that support Catholic education but are not legally connected to the Archdiocese of St. Louis, including, but not limited to, Today and Tomorrow Educational Foundation, Roman Catholic Foundation of Eastern Missouri, Access Academics, English Tutoring Project, and United Way.
Sponsoring organizations *

I grant permission to use my or my child/ren's image, name, recording, or academic work in secular media communications including, but not limited to, print, radio, TV and internet (Examples: St. Louis Post-Dispatch, KMOX radio, and KSDK-TV).
By submitting this registration, I am granting permission for my child(ren) to attend Annunciation’s PSR program and receive instruction in the theology of the Catholic faith.
Secular media outlets *

Early bird pricing (below) is now through July 20 (there will be a $50 increase in the listed tuition rates on July 21):

1 child tuition: $225

2 child tuition: $325

3 child tuition: $400

Fees per Grade Level are due at the time of registration, in addition to tuition:

2nd Gr. Sacramental Material Fee: $40

3rd Gr. Bible Material Fee: $40

6th Gr. Bible Material Fee: $40

8th Gr. Sacramental Material Fee: $60

Private School Confirmation Preparation Registration Fee: $100

The link to pay registration and fees will be provided in the confirmation email that you will receive upon completion of this form.

Current month ye@r (4 digits) day *