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Parish School of Religion & Confirmation

- Religious Education
  - School History
  - Parish School of Religion & Confirmation

Our Sunday Parish School Religion program is run out of St. Peter of the Fields Church in Rootstown. It encompasses the people of both Parishes. For more information please contact the Parish at 330-628-9941 for an appointment or for any questions that may arise.

You may also sign up for PSR or Confirmation using the form below.
Religious Education Registration
- Parent 1*
  
  First Name * Maximum 80 characters Please fill out this field. Please enter valid data.
  
  Last Name * Maximum 80 characters Please fill out this field. Please enter valid data.
  
  Family Contact Email * Maximum 200 characters Please fill out this field. Please enter an email address.
  
  Family Phone * Maximum 20 characters Please fill out this field. Please enter a phone number.
- Parent 2
  
  First Name Maximum 80 characters Please enter valid data.
  
  Last Name Maximum 80 characters Please enter valid data.
  
  Email Maximum 200 characters Please enter an email address.
  
  Phone Maximum 20 characters Please enter a phone number.
- Emergency Contact*
  
  First Name * Maximum 80 characters Please fill out this field. Please enter valid data.
  
  Last Name * Maximum 80 characters Please fill out this field. Please enter valid data.
  
  Phone * Maximum 20 characters Please fill out this field. Please enter a phone number.
- How many children are you registering? Maximum 10 characters Please enter an integer (number) from 1 to 10.
  
  Child 1*
  
  First Name * Maximum 80 characters Please fill out this field. Please enter valid data.
  
  Last Name * Maximum 80 characters Please fill out this field. Please enter valid data.
  
  Date of Birth * Maximum 20 characters Please fill out this field. Please enter a date.
  
  Registering for * Please fill out this field.
  
  Comments
  
  Child 2*
  
  First Name * Maximum 80 characters Please fill out this field. Please enter valid data.
  
  Last Name * Maximum 80 characters Please fill out this field. Please enter valid data.
  
  Date of Birth * Maximum 20 characters Please fill out this field. Please enter a date.
  
  Registering for * Please fill out this field.
  
  Comments
  
  Child 3*
  
  First Name * Maximum 80 characters Please fill out this field. Please enter valid data.
  
  Last Name * Maximum 80 characters Please fill out this field. Please enter valid data.
  
  Date of Birth * Maximum 20 characters Please fill out this field. Please enter a date.
  
  Registering for * Please fill out this field.
  
  Comments
  
  Child 4*
  
  First Name * Maximum 80 characters Please fill out this field. Please enter valid data.
  
  Last Name * Maximum 80 characters Please fill out this field. Please enter valid data.
  
  Date of Birth * Maximum 20 characters Please fill out this field. Please enter a date.
  
  Registering for * Please fill out this field.
  
  Comments
  
  Child 5*
  
  First Name * Maximum 80 characters Please fill out this field. Please enter valid data.
  
  Last Name * Maximum 80 characters Please fill out this field. Please enter valid data.
  
  Date of Birth * Maximum 20 characters Please fill out this field. Please enter a date.
  
  Registering for * Please fill out this field.
  
  Comments
  
  Child 6*
  
  First Name * Maximum 80 characters Please fill out this field. Please enter valid data.
  
  Last Name * Maximum 80 characters Please fill out this field. Please enter valid data.
  
  Date of Birth * Maximum 20 characters Please fill out this field. Please enter a date.
  
  Registering for * Please fill out this field.
  
  Comments
  
  Child 7*
  
  First Name * Maximum 80 characters Please fill out this field. Please enter valid data.
  
  Last Name * Maximum 80 characters Please fill out this field. Please enter valid data.
  
  Date of Birth * Maximum 20 characters Please fill out this field. Please enter a date.
  
  Registering for * Please fill out this field.
  
  Comments
  
  Child 8*
  
  First Name * Maximum 80 characters Please fill out this field. Please enter valid data.
  
  Last Name * Maximum 80 characters Please fill out this field. Please enter valid data.
  
  Date of Birth * Maximum 20 characters Please fill out this field. Please enter a date.
  
  Registering for * Please fill out this field.
  
  Comments
  
  Child 9*
  
  First Name * Maximum 80 characters Please fill out this field. Please enter valid data.
  
  Last Name * Maximum 80 characters Please fill out this field. Please enter valid data.
  
  Date of Birth * Maximum 20 characters Please fill out this field. Please enter a date.
  
  Registering for * Please fill out this field.
  
  Comments
  
  Child 10*
  
  First Name * Maximum 80 characters Please fill out this field. Please enter valid data.
  
  Last Name * Maximum 80 characters Please fill out this field. Please enter valid data.
  
  Date of Birth * Maximum 20 characters Please fill out this field. Please enter a date.
  
  Registering for * Please fill out this field.
  
  Comments
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Pastorate of Sts. Joseph & Peter

Our Lady of Lourdes Grotto, St. Joseph School,
Serving Southern Portage County, Ohio

Parish School of Religion & Confirmation

Religious Education Registration