Wufoo

Parent/Guardian Name * First Last
Preferred Email - will be used to inform you about the majority of information regarding PSR *
Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Phone Number * ### - ### - ####
Information for First Child
Child's Name * First Last
Grade Level *
Early Childhood - Pre-K/Kindergarten (at least 4 years old) 1st 2nd 3rd 4th 5th 6th 7th 8th
Does your child have any learning needs? Is there any important information that should be passed on to the catechist?
Does your child have any food allergies/dietary restrictions?
Information for Second Child
Child's Name First Last
Grade Level
Early Childhood - Pre-K/Kindergarten (at least 4 years old) 1st 2nd 3rd 4th 5th 6th 7th 8th
Does your child have any learning needs? Is there any important information that should be passed on to the catechist?
Does your child have any food allergies/dietary restrictions?
Information for Third Child
Child's Name First Last
Grade Level
Early Childhood - Pre-K/Kindergarten (at least 4 years old) 1st 2nd 3rd 4th 5th 6th 7th 8th
Does your child have any learning needs? Is there any important information that should be passed on to the catechist?
Does your child have any food allergies/dietary restrictions?
Information for Fourth Child
Child's Name First Last
Grade Level
Early Childhood - Pre-K/Kindergarten (at least 4 years old) 1st 2nd 3rd 4th 5th 6th 7th 8th
Does your child have any learning needs? Is there any important information that should be passed on to the catechist?
Does your child have any food allergies/dietary restrictions?
Parent Involvement Information

Getting involved is easy!
I am interested in volunteering:
for intergenerational events for class service projects for crafts/large activities by providing snacks/treats
Payment Information - Payment can be made electronically by clicking on the appropriate choice below. If you prefer to pay by check you may do so by making your check payable to Church of the Gesu and send it to the attention of Sister Linda Martin, O.S.U.

Fees:
One child - $110.00 - Late Registration after Sept. 1

Two children - $200.00 - Late Registration after September 1

Three children - $285.00 - Late Registration after Sept.1
Payment option
I will pay electronically I will pay by check
Number of children registering
One child Two children Three or more children
Do Not Fill This Out

Wufoo

Information for First Child

Information for Second Child

Information for Third Child

Information for Fourth Child

Parent Involvement Information

Payment Information - Payment can be made electronically by clicking on the appropriate choice below. If you prefer to pay by check you may do so by making your check payable to Church of the Gesu and send it to the attention of Sister Linda Martin, O.S.U.