PREP Registration Form - 2025/2026

Please fill out (1) registration form for your family. Please mark N/A for any field that does not need a response.

Guardian Information:

Father's First Name

*

Father's Last Name

*

Father's Email

This address will receive a confirmation email

Father's Mobile Phone

Father's Religion

*

Mother's First Name

*

Mother's Last Name

*

Maiden Name

*

Mother's Email

*

This address will receive a confirmation email

Mother's Mobile Phone

*

Mother's Religion

*

Family Address

*

Is your Family Registered at St. Peter Church

*

Please select one option.

Yes No

Are there any Custody/Legal Issues

*

Please select one option.

No Yes

I grant Permission for my Child's Picture to Appear in Social Media in Relation to Events at the Parish

*

Please select one option.

Yes No

Emergency Contact Name

*

Emergency Contact Phone

*

Would you like to Volunteer at PREP

*

Please select one option.

Yes No

Student Information: Student # 1

Student's Name

*

Student's Gender

*

Please select one option.

Female Male

Student's Race

*

Please select one option.

Non-Hispanic/Latino Hispanic/Latino

Student's Ethnicity

*

Please select all that apply.

American Indian/Native Alaskan Asian Black/African American Native Hawaiian/Pacific Islander Two or More Races White Other Prefer not to Answer

Birthdate

*

Name of School

*

Fall School Year Grade

*

Please select one option.

1 2 3 4 5 6 7 8

Fall PREP Year Grade

*

Please select one option.

1 2 3 4 5 6 7 8

Class Session

*

Please select one option.

Sunday Mornings (9:15-10:45am) Tuesday Evenings (6:15-7:45pm)

Are there any learning support or disabilities (if yes, please identify)

*

Are there any medical conditions (if yes, please identify)

*

Has your Child been Baptized

*

Please select one option.

Yes No

Are Vaccinations up to Date

*

Please select one option.

Yes No

Student Information: Student # 2

Student's Name

Student's Gender

Please select one option.

Female Male

Student's Race

Please select one option.

Non-Hispanic Hispanic/Latino

Student's Ethnicity

Please select all that apply.

American Indian/Native Asian Black/African American Native Hawaiian/Pacific Islander Two or more Races White Other Prefer not to answer

Birthdate

Name of School

Fall School Year Grade

Please select one option.

1 2 3 4 5 6 7 8

Fall PREP Year Grade

Please select one option.

1 2 3 4 5 6 7 8

Class Session

Please select one option.

Sunday Mornings (9:15-10:45am) Tuesday Evenings (6:16-7:45pm)

Are there any learning support or disabilities (if yes, please identify)

Are there any medical conditions (if yes, please identify)

Has your child been Baptized

Please select one option.

Yes No

Are Vacinations up to date

Please select one option.

Yes No

Student Information: Student # 3

Student's Name

Student's Gender

Please select one option.

Female Male

Student's Race

Please select one option.

Non-Hispanic Hispanic/Latino

Student's Ethnicity

Please select one option.

American Indian/Native Asian Black/African American Native Hawaiian/Pacific Islander Two or more Races White Other Prefer not to answer

Birthdate

Name of School

Fall School Year Grade

Please select one option.

1 2 3 4 5 6 7 8

Fall PREP Year Grade

Please select one option.

1 2 3 4 5 6 7 8

Class Session

Please select one option.

Sunday Mornings (915-10:45am) Tuesday Evenings (6:15-7:45pm)

Are there any learning support or disabilities (if yes, please identify)

Are there any medical conditions (if yes, please identify)

Has your Child been Baptized

Please select one option.

Yes No

Are Vaccinations up to date

Please select one option.

Yes No

PREP Tuition Payment:

Payment

(1) Student ($178) (2) Students ($304) (3 or more) Students ($378)

Amount

Credit/Debit Card Number

Expiration Date/CVC

Name on Card

Card Billing Address

Description

Please fill out (1) registration form for your family. Please mark N/A for any field that does not need a response.

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