Returning Registration

PSR Enrollment for the 2022-2023 school year is for grades K-7.

8th Graders who have not received Confirmation should register for "7th grade" which is the Confirmation preparation program.

6th-8th Graders may also attend EDGE Youth Ministry during the week by contacting Anna Hussey ([email protected]).

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

Mailing Address REQUIRED Please fill out this field. Please enter valid data.

Home phone number, if applicable: Please enter valid data.

Mother's Information

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

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

Mother's cell phone number: REQUIRED Please fill out this field. Please enter valid data.

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

Father's Information

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

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

Father's cell phone number: REQUIRED Please fill out this field. Please enter valid data.

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

Are you registered at Assumption Parish? If not, what parish? Please enter valid data.

Marital Status Married Separated/Divorced Single Remarried

Notice for Divorced Parents:

The Archdiocese of St. Louis' policy requires all divorced parents to submit a copy of your current child custody agreement upon registering your child or children in the Assumption PSR program. It the parents' responsibility to inform the PSR director and provide a copy of the updated custody agreement upon any change in the agreement.

In case of emergency during PSR, which parent to contact first? Mother Father

What is the number of children you are registering? REQUIRED Please fill out this field.
Child 1
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Middle Name Please enter valid data.
- Grade level REQUIRED Please fill out this field.
- School they attend: REQUIRED Please fill out this field. Please enter valid data.
- Please state the medical, behavioral needs, and/or allergies of the child: (Provide IEP to PSR office) Please enter valid data.
Child 2
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Middle Name Please enter valid data.
- Grade level REQUIRED Please fill out this field.
- School they attend: REQUIRED Please fill out this field. Please enter valid data.
- Please state the medical, behavioral needs, and/or allergies of the child: (Provide IEP to PSR office) Please enter valid data.
Child 3
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Middle Name Please enter valid data.
- Grade level REQUIRED Please fill out this field.
- School they attend: REQUIRED Please fill out this field. Please enter valid data.
- Please state the medical, behavioral needs, and/or allergies of the child: (Provide IEP to PSR office) Please enter valid data.
Child 4
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Middle Name Please enter valid data.
- Grade level REQUIRED Please fill out this field.
- School they attend: REQUIRED Please fill out this field. Please enter valid data.
- Please state the medical, behavioral needs, and/or allergies of the child: (Provide IEP to PSR office) Please enter valid data.

Emergency Contacts:

These should be either a relative or friend who will assume temporary care of your child(ren) if you cannot be reached.

Who is the #1 emergency contact for your family and their relationship to the child(ren)? REQUIRED Please fill out this field. Please enter valid data.

#1 emergency contact's cell phone: REQUIRED Please fill out this field. Please enter valid data.

#1 emergency contact's secondary phone: Please enter valid data.

Media Release

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,

Archdiocese of St. Louis: archstl.org, St. Louis Review, Catholic St. Louis magazine, archdiocesan social media, and any publication(s) by agencies administered by the Archdiocese of St. Louis;
Parish/School: parish bulletin, school newsletter, student newspaper, admission videos, parish/school website and social media.
Sponsoring organizations: 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 Academies, English Tutoring Project, and United Way.
Secular media outlets: secular media communications including, but not limited to, print, radio, TV and internet (Examples: St. Louis Post‐Dispatch, KMOX radio, and KSDK‐TV).

Archdiocese of St. Louis REQUIRED Yes No Please fill out this field.

Parish/School REQUIRED Yes No Please fill out this field.

Sponsoring Organizations REQUIRED Yes No Please fill out this field.

Secular Media Outlets REQUIRED Yes No Please fill out this field.

EMERGENCY CARE PROCEDURE:

In case of accident or serious illness, I request the PSR to contact me. If the PSR is unable to reach me, I hereby authorize the PSR to call emergency contacts indicated above and to follow instructions. If it is impossible to contact these people, the PSR may make whatever arrangements seem necessary. By submitting this online form, I hereby verify that I am one of the child(ren)'s parents or guardians and I consent to this emergency care procedure.

Tuition REQUIRED

Certain families in the PSR community are eligible for tuition discounts. If this is not you, please select "None". This is on your honor.

185.0 – One child ($185) 230.0 – Two children (additional $45) 275.0 – Three or more children (additional $45) Please fill out this field.

I qualify for a tuition discount REQUIRED Please fill out this field.

Additional Fees

30.0 – 2nd Grade / First Communion

40.0 – 7th Grade / Confirmation

50.0 – Non-parishioner

Total Tuition and Fees due by December 1, 2022.

Contact Ms. Stringer at [email protected] for payment plans or financial assistance.

How to pay for your child(ren)'s spot(s):

We prefer online payments via credit card or e-check (you will need your routing and account numbers)

If necessary, you can return a check/cash for the amount to the Parish Office by mailing it to 4725 Mattis Rd St. Louis, MO 63128 or by dropping it off! (Our office hours are M-F, 8:30-4:30). You can also drop off envelopes after hours using the mail drop slot at the Rectory door.

If writing a check, please make it out to "Assumption Parish". Please place any monies directed towards PSR registration in an envelope clearly marked for PSR and Ms. Stringer. Thank you!

Additional Forms to complete:

To complete your registration, please pay the amount you owe and by additionally completing and turning in the 2022 Christian Witness Statement form on the first day of PSR! (Or, you can return them to the parish office at any time)

Assumption-Mattese

Returning Registration

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Returning Student Registration