Register for PSR

My family is registered at: REQUIRED Ss. Robert & William St. John of the Cross Other: Please fill out this field.

If other, what parish? Please enter valid data.

FAMILY INFORMATION:

Father's Name Please enter valid data.
Father's Religion Please enter valid data.
Mother's Name Please enter valid data.
Mother's Religion Please enter valid data.
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.
Primary Contact Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
Email REQUIRED Please fill out this field. Please enter an email address.

How many children are you 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.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Baptism Date ** Month & year are sufficient if you cannot remember the exact date. REQUIRED
  Please supply a copy of baptism certificate if from another parish
  Please fill out this field. Please enter a date.
- Church of Baptism REQUIRED Please fill out this field. Please enter valid data.
- Has this child received the Sacrament of Reconciliation? REQUIRED Please fill out this field.
- First Communion Date ** Month & year are sufficient if you cannot remember the exact date.
  If applicable
  Please enter a date.
- Church of First Communion
  If applicable
  Please enter valid data.
- Day School of Attendance REQUIRED Please fill out this field. Please enter valid data.
- 2025-2026 Grade Level REQUIRED Please fill out this field.
- Are there any educational or psychological concerns, family situations, or custody arrangements that we should be aware of in order to best minister to your child?
- Previous Religious Education: REQUIRED Please fill out this field.
- Last parish of religious education:
  If applicable
  Please enter valid data.
- Medical, physical conditions, special needs, or food allergies?
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.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Baptism Date ** Month & year are sufficient if you cannot remember the exact date. REQUIRED
  Please supply a copy of baptism certificate if from another parish
  Please fill out this field. Please enter a date.
- Church of Baptism REQUIRED Please fill out this field. Please enter valid data.
- Has this child received the Sacrament of Reconciliation? REQUIRED Please fill out this field.
- First Communion Date ** Month & year are sufficient if you cannot remember the exact date.
  If applicable
  Please enter a date.
- Church of First Communion
  If applicable
  Please enter valid data.
- Day School of Attendance REQUIRED Please fill out this field. Please enter valid data.
- 2025-2026 Grade Level REQUIRED Please fill out this field.
- Are there any educational or psychological concerns, family situations, or custody arrangements that we should be aware of in order to best minister to your child?
- Previous Religious Education: REQUIRED Please fill out this field.
- Last parish of religious education:
  If applicable
  Please enter valid data.
- Medical, physical conditions, special needs, or food allergies?
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.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Baptism Date ** Month & year are sufficient if you cannot remember the exact date. REQUIRED
  Please supply a copy of baptism certificate if from another parish
  Please fill out this field. Please enter a date.
- Church of Baptism REQUIRED Please fill out this field. Please enter valid data.
- Has this child received the Sacrament of Reconciliation? REQUIRED Please fill out this field.
- First Communion Date ** Month & year are sufficient if you cannot remember the exact date.
  If applicable
  Please enter a date.
- Church of First Communion
  If applicable
  Please enter valid data.
- Day School of Attendance REQUIRED Please fill out this field. Please enter valid data.
- 2025-2026 Grade Level REQUIRED Please fill out this field.
- Are there any educational or psychological concerns, family situations, or custody arrangements that we should be aware of in order to best minister to your child?
- Previous Religious Education: REQUIRED Please fill out this field.
- Last parish of religious education:
  If applicable
  Please enter valid data.
- Medical, physical conditions, special needs, or food allergies?
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.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Baptism Date ** Month & year are sufficient if you cannot remember the exact date. REQUIRED
  Please supply a copy of baptism certificate if from another parish
  Please fill out this field. Please enter a date.
- Church of Baptism REQUIRED Please fill out this field. Please enter valid data.
- Has this child received the Sacrament of Reconciliation? REQUIRED Please fill out this field.
- First Communion Date ** Month & year are sufficient if you cannot remember the exact date.
  If applicable
  Please enter a date.
- Church of First Communion
  If applicable
  Please enter valid data.
- Day School of Attendance REQUIRED Please fill out this field. Please enter valid data.
- 2025-2026 Grade Level REQUIRED Please fill out this field.
- Are there any educational or psychological concerns, family situations, or custody arrangements that we should be aware of in order to best minister to your child?
- Previous Religious Education: REQUIRED Please fill out this field.
- Last parish of religious education:
  If applicable
  Please enter valid data.
- Medical, physical conditions, special needs, or food allergies?
CHILD 5
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Baptism Date ** Month & year are sufficient if you cannot remember the exact date. REQUIRED
  Please supply a copy of baptism certificate if from another parish
  Please fill out this field. Please enter a date.
- Church of Baptism REQUIRED Please fill out this field. Please enter valid data.
- Has this child received the Sacrament of Reconciliation? REQUIRED Please fill out this field.
- First Communion Date ** Month & year are sufficient if you cannot remember the exact date.
  If applicable
  Please enter a date.
- Church of First Communion
  If applicable
  Please enter valid data.
- Day School of Attendance REQUIRED Please fill out this field. Please enter valid data.
- 2025-2026 Grade Level REQUIRED Please fill out this field.
- Are there any educational or psychological concerns, family situations, or custody arrangements that we should be aware of in order to best minister to your child?
- Previous Religious Education: REQUIRED Please fill out this field.
- Last parish of religious education:
  If applicable
  Please enter valid data.
- Medical, physical conditions, special needs, or food allergies?
CHILD 6
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Baptism Date ** Month & year are sufficient if you cannot remember the exact date. REQUIRED
  Please supply a copy of baptism certificate if from another parish
  Please fill out this field. Please enter a date.
- Church of Baptism REQUIRED Please fill out this field. Please enter valid data.
- Has this child received the Sacrament of Reconciliation? REQUIRED Please fill out this field.
- First Communion Date ** Month & year are sufficient if you cannot remember the exact date.
  If applicable
  Please enter a date.
- Church of First Communion
  If applicable
  Please enter valid data.
- Day School of Attendance REQUIRED Please fill out this field. Please enter valid data.
- 2025-2026 Grade Level REQUIRED Please fill out this field.
- Are there any educational or psychological concerns, family situations, or custody arrangements that we should be aware of in order to best minister to your child?
- Previous Religious Education: REQUIRED Please fill out this field.
- Last parish of religious education:
  If applicable
  Please enter valid data.
- Medical, physical conditions, special needs, or food allergies?

K-6 PROGRAM INFORMATION

We are selecting to participate in K-6 PSR by way of: Traditional classroom Homeschool Online platform

PHOTO CONSENT

I (we) the parent(s) and/or guardians of my (our) minor (child)ren, do hereby consent and authorize the release, publication, dissemination, distribution, use, and/or reproduction of any and all photographs taken of my(our) daughter(s)/son(s) during his/her enrollment at the Ss. Robert & William / Saint John of the Cross Parish School of Religion by an employee, agent, or representative of the Ss. Robert & William / Saint John of the Cross Parish School of Religion, or an independent contractor.

This Release and authorization acknowledge that all photographic proofs, photographic negatives, positives, and prints shall constitute the property of the Ss. Robert & William / Saint John of the Cross Parish School of Religion and may be used by Saint John of the Cross Parish for any purpose* determined at its discretion without further notice or any compensation to me or to my daughter(s)/son(s).

*Primary uses of these photos would be on the parish websites, srweuclid.cc or sjceuclid.com, and/or its social media outlets. Please note that your child(ren) will never be identified by name.
Photo Release Consent REQUIRED I agree to the photo release terms. I do NOT agree to the photo release terms. Please fill out this field.
Name of parent/guardian granting consent: REQUIRED Please fill out this field. Please enter valid data.

7-8 PROGRAM INFORMATION

My child is in: Grade 7 Grade 8

EMERGENCY MEDICAL CONTACT ** If you are enrolling in the web portal or homeschool option, please respond "N/A" to this entire section.

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

Last Name REQUIRED Please fill out this field. Please enter valid data.
Relationship to family REQUIRED Please fill out this field. Please enter valid data.
Cell Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
Secondary Number Maximum 20 characters Please enter a phone number.

TUITION/PAYMENT INFORMATION

K - 6 Traditional Classroom
Please select a number. You have the option to pay later.
K - 6 Homeschool/Online Platform
Grade 8 (ONLY) Confirmation Fee
Please select a number. You have the option to pay later.

Ss. Robert & William Catholic Parish

367 E. 260th St., Euclid, Oh. 44132 | 216.731.1515

Register for PSR