PSR & Confirmation Registration Form

PSR & Confirmation Registration 2026

To register for PSR or Confirmation – please fill out the form below, one for each child. If your child is preparing for First Communion or Confirmation in the spring, please submit a copy of your child’s Baptismal Certificate to Matt Griffith.

This field is for validation purposes and should be left unchanged.

Parent/ Guardian Information

Parent/ Guardian Names(Required)

Phone(Required)

Address(Required)

Street Address City State ZIP / Postal Code

Email 1(Required)

Email 2

Father's full name (as on child's birth certificate)(Required)

Father's Religion

Mother's full name (as on child's birth certificate)(Required)

Mother's Religion

Mother's Maiden Name

Legal Guardian of Child

Emergency Contact Name(Required)

Emergency Contact Phone(Required)

Are you a registered parishioner of Our Lady of Guadalupe Church?

Yes

OLG Envelope Number

Child Information

Child's Name(Required)

First Middle Initial Last

Child's Birth Date(Required)

Any previous religious education (If so please specify where)

Public School that will be attended this fall

Grade in School this fall

Church of Baptism

Date of Baptism

Church Address

Street Address City State ZIP Code

Does you child have any serious illnesses, disabilities, or allergies?(Required)

2026/27 PSR Payment