Summer PSR Program-Online Registration

Family Name REQUIRED Please fill out this field. Please enter valid data.

Preferred Email: REQUIRED Please fill out this field. Please enter valid data.

Primary Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Parish Church where you are a registered member REQUIRED Please fill out this field.

Other Parish, please list Please enter valid data.

Mother's first and last name REQUIRED Please fill out this field. Please enter valid data.

Mother's religion REQUIRED Please fill out this field. Please enter valid data.

Mother's street address REQUIRED Please fill out this field. Please enter valid data.

City REQUIRED Please fill out this field. Please enter valid data.

State REQUIRED Please fill out this field.

Zip REQUIRED Please fill out this field. Please enter a zip code.

Father's first and last name REQUIRED Please fill out this field. Please enter valid data.

Father's religion REQUIRED Please fill out this field. Please enter valid data.

Father's street address REQUIRED Please fill out this field. Please enter valid data.

City REQUIRED Please fill out this field. Please enter valid data.

State REQUIRED Please fill out this field.

Zip REQUIRED Please fill out this field. Please enter a zip code.

Are parents married to each other? YES NO

If divorced, please list the custodial parent Please enter valid data.

Emergency Contact REQUIRED Please fill out this field. Please enter valid data.

Emergency Contact Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Alt Emergency Phone Number Please enter a phone number.

Who may pick up your child? REQUIRED Please fill out this field. Please enter valid data.

Child #1

first, middle and last name REQUIRED Please fill out this field. Please enter valid data.
Gender REQUIRED Male Female Please fill out this field.
Date of Birth REQUIRED Please fill out this field. Please enter a date.
Child's age REQUIRED Please fill out this field. Please enter valid data.
Church of Baptism with city/state REQUIRED Please fill out this field. Please enter valid data.
Date of Baptism REQUIRED Please fill out this field. Please enter a date.
School name, fall of 2025 REQUIRED Please fill out this field. Please enter valid data.
Grade level, fall 2025 REQUIRED Please fill out this field.
Sacraments already received REQUIRED Please fill out this field.
Select all PSR levels previously attended REQUIRED 1 2 3 4 5 6 7 Please fill out this field.

Child #2

First Name Please enter valid data.

Last Name Please enter valid data.
Gender Male Female
Date of Birth Please enter a date.
Child's age REQUIRED Please fill out this field. Please enter valid data.
Church of Baptism with city/state Please enter valid data.
Date of Baptism Please enter a date.
School name, fall of 2025 Please enter valid data.
Grade level, fall 2025
Sacraments already received
Select all PSR levels previously attended 1 2 3 4 5 6 7

Child #3

First Name Please enter valid data.

Last Name Please enter valid data.
Gender Male Female
Date of Birth Please enter a date.
Child's age REQUIRED Please fill out this field. Please enter valid data.
Church of Baptism with city/state Please enter valid data.
Date of Baptism Please enter a date.
School name, fall of 2025 Please enter valid data.
Grade level, fall 2025
Sacraments already received
Select all PSR levels previously attended 1 2 3 4 5 6 7

Please indicate if you would like to receive sacrament prep registration following summer PSR. Include child's name and sacrament

PLEASE NOTE:

SUMMER PROGRAM TUITION IS $75 PER CHILD. This fee is for MQH members. It partially covers expenses for catechetical staff, textbooks, crafts, and snack supplies for the summer program. Your parish will cover the balance.

Out of MQH Family fee is $100 per child.

(registration deadline is MAY 1st).

SACRAMENT PREPARATION: ** Sacrament prep takes place during the school year. ALL STUDENTS WHO WILL BE PREPARING FOR THE First Communion & Reconciliation or Confirmation in the fall, WILL NEED TO ATTEND THE SUMMER SESSION FIRST. Registration for sacrament prep is sent out following the summer PSR program.

Registration fees are due at the time of registration.

Submit online registration and then scroll down below for payment link.

For financial assistance contact Barbara Yoder or your parish office DRE or Business Manager.

SUMMER PROGRAM WILL TAKE PLACE AT THE ST. BERNARD CAMPUS

Summer PSR Program-Online Registration

Registration - Summer PSR 2025

June 2 - 13, 2025 -- 8:15a-12:30p, M-F