St. James of the Valley
PSR & PEP Registration Form
2007-2008
Family Name_________________________________ Phone_____________________
Mother’s Name____________________ Father’s Name_________________________
Address__________________________________________ Zip Code______________
E-mail_______________________________________________________
For PSR Students - list the grade your child will be in during the 2007-08 year.*
For PEP Students - list child’s age and the letter “P” in the Grade column.
Child’s Name Grade School Attends Date of Birth
___________________ _______ _______________ ________________
___________________ _______ _______________ ________________
___________________ _______ _______________ ________________
___________________ _______ _______________ ________________
___________________ _______ _______________ ________________
*Have any of the children listed above missed sacramental preparation in the typical year, ie. a third-grader who has not yet made their First Communion? Please indicate by circling their name in the list above.
Please include below any information that will help us in the religious education of your child. This information will be kept confidential.
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