PSR Online Registration

Parish School of Religion is our faith formation and sacramental preparation program for children 1st through 5th grade on Wednesday evenings. The online form below is to register your child for the Parish School of Religion (PSR) Faith and Life program for catechesis and sacramental preparation. Unfortunately we are not able to offer Catechesis of the Good Shepherd this year.

All families will have the option of in-person learning or on-line learning if child is online for school. On the Registration Form please indicate the learning preference for your child (in-person or on-line) so arrangements can be made.

In-person learning will take place at Holy Rosary Church either in the School Cafeteria (Grades 1 – 4) or the Marian Room (Grade 5). Classes will begin at 5:45 p.m. and end at 7:30 p.m. Parents will drop off outside and pick up outside.

CLASSES:

Class 1: 1st and 2nd grade – preparing for First Communion and First Reconciliation
Class 2: 3rd and 4th grade – preparing for Confirmation
Class 3: 5th grade – for Confirmation

CONTACT INFO:

Barbara Van Beveren (Director), Director of Religious Education
barbara@catholicfaithformation.org
Office: 740 264-6177
Cell: 304-374-4267 (Or contact your pastor)

PSR FEES

FEE: $30 per child for books/materials/etc. Please make checks payable to: CFF (Catholic Faith Formation) and mail to POB 908, Steubenville 43952 or dropped off at TOTC Offices. Questions or concerns, please talk to your Pastor. There are No Refunds.

All children must follow the COVID-19 guidelines as they would through the schools and parishes.

2020-2021 PSR Online Registration Form

Child's Information
How many children will you be registering? * Required
Child 1 Information * Required
Please include full name, age, birthday, gender, school, and grade.
Child 2 Information * Required
Please include full name, age, birthday, gender, school, and grade.
Child 3 Information * Required
Please include full name, age, birthday, gender, school, and grade.
Child 4 Information * Required
Please include full name, age, birthday, gender, school, and grade.
Child 5 Information * Required
Please include full name, age, birthday, gender, school, and grade.
We are offering in-person classes, but for those with a COVID risk, we can provide an online option. This is for COVID related reasons only, not sports or other reasons.
List the name of each child below that needs an online class.
Sacramental Information
This section is for FIRST time families or FIRST time children only. Skip this section if you are a returning family.
Your Child's Sacraments
For each child, type their full name and list each of their received sacraments (Baptism, 1st Confession, 1st Communion, Confirmation, etc). Sacramental information must include the date of sacrament received, Church name, and Church full address (only list the Church address once if it's the same).
Parental Information
Father: Full Name
First Last
Father: Phone
Father: Email
Father: Address
Street Address Address Line 2 City State ZIP Code
Mother: Name
First Last
Mother: Phone
Mother: Email
Does Mother have the same address as Father?
- Yes
- No
Mother: Address
Street Address Address Line 2 City State ZIP Code
Which parish do you belong to? * Required
Emergency Info and Medical Authorization
PURPOSE: To enable parents and guardians to authorize the provision of emergency treatment for children who become ill or injured while under the Catholic Faith Formation program for the City of Steubenville supervision, and when parents or guardians cannot be reached.

Part I or Part II must be completed.
PART I:
(To grant consent)
In the event that reasonable attempts to contact me (the signer), at the PRIMARY phone number below or other parent or guardian at the SECONDARY phone number below, have been unsuccessful, I hereby give consent for:

1. The administration of any treatment deemed necessary by: ––a. Preferred physician: ––b. Preferred dentist: ––c. Or in the event the designated preferred practitioner is not available, by another licensed physician or dentist.

2. The transfer of the child to the preferred hospital: or any hospital reasonably accessible for the condition of emergency.

MEDICAL HISTORY: This authorization does not cover major surgery unless the medical opinions of two other licensed physicians or dentists, concurring in the necessity for such surgery, are obtained prior to the performance of the surgery. The following are facts concerning the child’s medical history including allergies, medications being taken, and any physical impairment to which a physician should be alerted:
List Medical History
Primary Phone
Secondary Phone
Today's Date - must be mm/dd/yyyy format
Date Format: MM slash DD slash YYYY
Name of Parent or Guardian
PART II:
(Refusal of consent)
I do not give my consent for emergency medical treatment of my child. In the event of illness or injury requiring emergency treatment, I wish the supervisors to take no action or to:
Date - must be mm/dd/yyyy format
Date Format: MM slash DD slash YYYY
Name of Parent or Guardian
Diocese of Steubenville Mandatory Child Protection Policy Registration and Permission Form for Parish Religious Education
NAME OF PARISHES:
Holy Family, Saint Peter, Triumph of the Cross, St. Agnes, Blessed Sacrament, Our Lady of Lourdes

PRIEST COORDINATOR and PHONE NUMBER:
Father Thomas Nau – 740-264-6177

PROGRAM INFORMATION: Director of Religious Education:
- Catechetical Leader: Barbara Van Beveren
- Phone Number: 740-264-6177

- Location: Holy Family Church, St. Peter, Triumph of the Cross, Blessed Sacrament and Our Lady of Lourdes Properties and the Aquinas Catechetical Center

- Events include: Faith and Life; Sacramental Preparation; Youth Days; Retreats; VBS

- Begins: September 2020 - Ends: June 2021
I give the children listed on this form ( children listed on this form under my care) MY PERMISSION to attend Catholic Faith Formation Program for the period listed above. I understand that I can contact the catechist, the catechetical leader, or the priest coordinator if I have any concerns about religious education.
Date - must be mm/dd/yyyy format * Required
Date Format: MM slash DD slash YYYY
Name of Parent or Guardian * Required
***Posting Pictures on our Website, Diocesan Paper and Bulletin Board***

I give permission for my child’s picture to be posted on the Catholic Faith Formation website and/or the diocesan newspaper, “The Register.” I understand that the pictures will not have my child’s name listed. I also give my permission to post pictures of my child on the All Saints Catechetical Center’s bulletin board.
Date - must be mm/dd/yyyy format * Required
Date Format: MM slash DD slash YYYY
Name of Parent or Guardian * Required

PSR Online Registration

2020-2021 PSR Online Registration Form

Child's Information

Sacramental Information

Parental Information

Emergency Info and Medical Authorization

Diocese of Steubenville Mandatory Child Protection Policy Registration and Permission Form for Parish Religious Education

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