Forms

This is where you will find any form you may need. Please scroll down to the form you are looking for and start typing. Any questions, please call the Parish Office at 217-529-1606 and speak with the Secretary.

PSR Registration Form

Family Information
Child's Name*
First Middle Last
Gender*
Date of Birth*
MM slash DD slash YYYY
Address*
Street Address Address Line 2 City ZIP Code
Primary Phone*
Alternate Phone*
School Child Attends 2020/2021*
Grade 2020/2021*
Did your child attend PSR last year?*
- Yes
- No
If YES, where and what grade?
Where Grade
Father's Full Name
First Middle Last
Religion
Mother's Full Name
First Middle Last
Religion
Email*

(We communicate primarily by email. Please provide an accurate email address and check it often.)
Registered Members of Little Flower Parish?*
- Yes
- No
If NO, where are you currently registered?
Sacramental Information
(Please attach a copy of the Baptismal Certificate if not baptized at Little Flower.)
Baptism Date
MM slash DD slash YYYY
Baptism Church
Baptism Address
City State
Confirmation Date
MM slash DD slash YYYY
Confirmation Church
Confirmation Address
City State
First Communion Date
MM slash DD slash YYYY
Communion Church
Communion Address
City State
Information and Fees
PSR Classes are held on Sunday mornings from 8:55 – 9:40 a.m. at Little Flower School. Fees are $75 for the first child; $65 for the second child; $60 for the third child. The first day of class for students will be on September 20th, with a remote parent informational conference call on Wednesday, September 16th at 6:30 P.M.

Parish Registration Form

Registration Form

Head of Household Information

Languages Spoken

Spouse

Languages Spoken:

Children

Child 1:

Languages Spoken:

Child 2:

Languages Spoken:

Child 3:

Languages Spoken:

Child 4:

Languages Spoken:

Release

PSR Registration Form

PSR Registration Form

Family Information

Sacramental Information

Information and Fees

Where	Grade