• St. Dominic Parish School of Religion

    2026-2027 Registration

  • Student 1 Information

  • Date of Birth*
     - -
  • Sex*
  • Academic Grade Level for 2026-2027*
  • Has this student previously been enrolled in the St. Dominic Parish School of Religion?*
  • Date of Baptism
     - -
  • Date of First Reconciliation
     - -
  • Date of First Communion
     - -

  • Medical Information

  • Format: (000) 000-0000.

  • Photo Authorization

    Authorization for use of name, photograph, and/or likeness and/or information and release, defense, indemnity, and hold harmless.

  • For valuable consideration acknowledged and the dues paid as part of the youth group registration, we/I, parents of         , hereby authorize The Roman Catholic Church of the Archdiocese of New Orleans as operator of the Catholic Youth Organization (hereinafter “CYO”) and the St. Dominic Catholic Church (hereinafter “Church”), to use the name, photograph and/or likeness of our child in any advertisements and/or publicity in newspapers, church and school bulletins, and/or literature and/or on the CYO and/or Church website and/or in any televised or video media, including but not limited to the any videos on the internet posted by CYO and/or Church, as determined in the sole discretion of CYO and/or Church.

    We/I agree to defend, indemnify and hold harmless The Roman Catholic Church of the Archdiocese of New Orleans as operator of the Catholic Youth Organization and St. Dominic Catholic Church, their members, directors, officers, pastor(s), principal(s), teachers, employees, agents and assigns (hereinafter, collectively, “Releases”) from any liability or damages of any kind or type (including but not limited to mental, physical, emotional or economic damages) which may arise from the authorized use set forth above, including but not limited to any claims or causes of action arising in negligence or intentional fault, including but not limited to any claims or causes of action of defamation or invasion of privacy.

  • Do you have a second child to register for PSR 2026-2027?*

  • Student 2 Information

  • Date of Birth
     - -
  • Sex
  • Academic Grade Level for 2026-2027
  • Has this student previously been enrolled in the St. Dominic Parish School of Religion?
  • Date of Baptism
     - -
  • Date of First Reconciliation
     - -
  • Date of First Communion
     - -

  • Medical Information

  • Photo Authorization

  • For valuable consideration acknowledged and the dues paid as part of the youth group registration, we/I, parents of         , hereby authorize The Roman Catholic Church of the Archdiocese of New Orleans as operator of the Catholic Youth Organization (hereinafter “CYO”) and the St. Dominic Catholic Church (hereinafter “Church”), to use the name, photograph and/or likeness of our child in any advertisements and/or publicity in newspapers, church and school bulletins, and/or literature and/or on the CYO and/or Church website and/or in any televised or video media, including but not limited to the any videos on the internet posted by CYO and/or Church, as determined in the sole discretion of CYO and/or Church.

    We/I agree to defend, indemnify and hold harmless The Roman Catholic Church of the Archdiocese of New Orleans as operator of the Catholic Youth Organization and St. Dominic Catholic Church, their members, directors, officers, pastor(s), principal(s), teachers, employees, agents and assigns (hereinafter, collectively, “Releases”) from any liability or damages of any kind or type (including but not limited to mental, physical, emotional or economic damages) which may arise from the authorized use set forth above, including but not limited to any claims or causes of action arising in negligence or intentional fault, including but not limited to any claims or causes of action of defamation or invasion of privacy.

  • Do you have a third child to register for PSR 2026-2027?

  • Student 3 Information

  • Date of Birth
     - -
  • Sex
  • Academic Grade Level for 2026-2027
  • Has this student previously been enrolled in the St. Dominic Parish School of Religion?
  • Date of Baptism
     - -
  • Date of First Reconciliation
     - -
  • Date of First Communion
     - -

  • Medical Information

  • Photo Authorization

  • For valuable consideration acknowledged and the dues paid as part of the youth group registration, we/I, parents of         , hereby authorize The Roman Catholic Church of the Archdiocese of New Orleans as operator of the Catholic Youth Organization (hereinafter “CYO”) and the St. Dominic Catholic Church (hereinafter “Church”), to use the name, photograph and/or likeness of our child in any advertisements and/or publicity in newspapers, church and school bulletins, and/or literature and/or on the CYO and/or Church website and/or in any televised or video media, including but not limited to the any videos on the internet posted by CYO and/or Church, as determined in the sole discretion of CYO and/or Church.

    We/I agree to defend, indemnify and hold harmless The Roman Catholic Church of the Archdiocese of New Orleans as operator of the Catholic Youth Organization and St. Dominic Catholic Church, their members, directors, officers, pastor(s), principal(s), teachers, employees, agents and assigns (hereinafter, collectively, “Releases”) from any liability or damages of any kind or type (including but not limited to mental, physical, emotional or economic damages) which may arise from the authorized use set forth above, including but not limited to any claims or causes of action arising in negligence or intentional fault, including but not limited to any claims or causes of action of defamation or invasion of privacy.

  • Do you have a fourth child to register for PSR 2026-2027?

  • Student 4 Information

  • Date of Birth
     - -
  • Sex
  • Academic Grade Level for 2026-2027
  • Has this student previously been enrolled in the St. Dominic Parish School of Religion?
  • Date of Baptism
     - -
  • Date of First Reconciliation
     - -
  • Date of First Communion
     - -

  • Medical Information

  • Photo Authorization

  • For valuable consideration acknowledged and the dues paid as part of the youth group registration, we/I, parents of         , hereby authorize The Roman Catholic Church of the Archdiocese of New Orleans as operator of the Catholic Youth Organization (hereinafter “CYO”) and the St. Dominic Catholic Church (hereinafter “Church”), to use the name, photograph and/or likeness of our child in any advertisements and/or publicity in newspapers, church and school bulletins, and/or literature and/or on the CYO and/or Church website and/or in any televised or video media, including but not limited to the any videos on the internet posted by CYO and/or Church, as determined in the sole discretion of CYO and/or Church.

    We/I agree to defend, indemnify and hold harmless The Roman Catholic Church of the Archdiocese of New Orleans as operator of the Catholic Youth Organization and St. Dominic Catholic Church, their members, directors, officers, pastor(s), principal(s), teachers, employees, agents and assigns (hereinafter, collectively, “Releases”) from any liability or damages of any kind or type (including but not limited to mental, physical, emotional or economic damages) which may arise from the authorized use set forth above, including but not limited to any claims or causes of action arising in negligence or intentional fault, including but not limited to any claims or causes of action of defamation or invasion of privacy.

  • Family Information

  • Format: (000) 000-0000.
  • Parent/Guardian 1 Relationship to student(s)
  • Format: (000) 000-0000.
  • Parent/Guardian 2 Relationship to student(s)
  • Is the address for Parent/Guardian 2 the same address as Parent/Guardian 1?
  • With whom does the student live?

  • Permission Form

  • I,         , grant permission for my child(ren),         , to participate in this parish activity that may require transportation to a location away from the parish site. This activity will take place under the guidance and direction of parish employees and/or volunteers from St. Dominic Parish. A brief description of the activity follows:

  • Type of event: 2026-2027 Parish School of Religion
    Location(s): St. Dominic Parish
    Individual(s) in charge: Courtney Jansen & PSR Catechists 
    Duration of activity: September 2025-May 2026; classes on Wednesdays
    Mode of transportation to and from event: On your own

    As parent and/or legal guardian, I remain legally responsible for any personal actions taken by the above named minor (“participant”). 

    I confirm that there are no necessary changes to the Medical Information Consent form for my child that I previously submitted.  If there are any necessary changes, I will complete another Medical Information Consent form.

    I agree on behalf of myself, my child named herein, and my spouse, our heirs, successors, and assigns, to indemnify, hold harmless, and defend St. Dominic Catholic Church and The Roman Catholic Church of the Archdiocese of New Orleans, their members, directors, officers, employees, agents and representatives associated with the event arising from or in connection with the negligence and/or intentional acts of my child.

  • PSR Fee

    This fee covers the PSR Textbook, classroom supplies, class parties, etc. Please advise if you need to pay by installment. No one is denied PSR due to financial constraints.

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            Registration Fee - 1 Child
            $175.00$175.00
              
            Registration Fee - 2 Children
            $200.00$200.00
              
            Registration Fee - 3 Children
            $225.00$225.00
              
            Registration Fee - 4 or more Chidren
            $250.00$250.00
              
            Total
            $0.00$0.00

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