OUR MISSION: Queen of Heaven Parish is a prayerful, vibrant and proactive community sharing Christ's love through numerous ministries.

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PSR AND UPPER ROOM REGISTRATION

PSR & Upper Room 2022-23 Registration
- REGISTRATION OPENS JULY 15, 2022
  
  NOTE: REGISTRATION DEADLINE IS WEDNESDAY, AUGUST 31, 2022. A $25.00 LATE FEE WILL BE ADDED TO ALL REGISTRATIONS RECEIVED AFTER THIS DATE.
  
  Parents of PSR and High School students, please fill out the registration form below for all your children that you want to enroll in the 2022- 2023 religious education program.  All fees are due at the time of registration. On-line payment is required when submitting this form.
  
  The Registration Fee per child (PreK-12th Grade) is $45.00.
  
  For children making a Sacrament (First Reconciliation, First Holy Communion or Confirmation), there is an additional Sacramental fee of $35.00.
  
  Please make sure that you check the appropriate boxes in the "payment section" of the form below to include the Sacramental Fee for each child that will be participating in the Sacrament of First Holy Communion/Reconciliation or Confirmation.
  
  Registration must be completed and paid for by August 31, 2022. There will be a late fee of $25.00 for each family registration submitted on or after September 1, 2022.
  
  ADDITIONAL INFORMATION FOR THOSE MAKING THE SACRAMENT OF FIRST HOLY COMMUNION/RECONCILIATION:
  If your child was NOT Baptized at Queen of Heaven Parish, please email, mail or bring a copy of your child's Baptismal Certificate to the church office by September 19, 2022.
  Email:  [email protected]
  Mail: Queen of Heaven Parish, Attn: Donna White, 1800 Steese Rd, Uniontown, OH 44685
  Parish Office Hours: M-F, 9:00 a.m. to 4:30 p.m.
  
  ADDITIONAL INFORMATION FOR THOSE MAKING THE SACRAMENT OF CONFIRMATION:
  If your child was NOT Baptized or DID NOT make their First Holy Communion at Queen of Heaven Parish, please email, mail or bring a copy of your child's Baptismal Certificate or First Holy Communion Record to the church office by September 19, 2022.
  Email:  [email protected]
  Mail: Queen of Heaven Parish, Attn: Steve Dyer, 1800 Steese Rd, Uniontown, OH 44685
  Parish Office Hours: M-F, 9:00 a.m. to 4:30 p.m.
  
  Note: All parish children are welcome to participate in our Parish School of Religion program. If financial burdens require special consideration, please contact the PSR ministry at [email protected], Upper Room H.S. Ministry at [email protected] or the parish office at [email protected].
  
  If you have any questions or concerns, please contact Donna White, Coordinator of PSR, or Steve Dyer, High School Upper Room Youth Minister at the parish office at (330) 896-2345.
- PSR, FIRST HOLY COMMUNION, HIGH SCHOOL "UPPER ROOM" AND CONFIRMATION REGISTRATION AND PAYMENT
  
  The maximum number of form submissions has been reached. This form is currently not available.
  
  Number of Children REQUIRED Please fill out this field.
  
  Child 1
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade during 22/23 School Year REQUIRED Please fill out this field.
  
  Gender of Child REQUIRED Please fill out this field.
  
  Birth Date REQUIRED Please fill out this field. Please enter a date.
  
  Child's address REQUIRED Please fill out this field. Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  Who does the child live with? REQUIRED Please fill out this field.
  
  Is the child Baptized? REQUIRED Please fill out this field.
  
  Has the child made their First Holy Communion? REQUIRED Please fill out this field.
  
  Complete the following ONLY for students making their First Holy Communion/First Reconciliation (usually 2nd Grade). Note that there is an extra $35.00 fee for those children making their First Holy Communion/Reconciliation this year. Please check the Sacramental "First Holy Communion" fee box in the "Tuition and Payment Information" at the end of each child's form.
  
  Location of Baptism and Year Please enter valid data.
  
  If your child was NOT Baptized at Queen of Heaven Parish, please email, mail or bring a copy of your child's Baptismal Certificate to the church office by September 19, 2022.
  Email: [email protected]
  Mail: Queen of Heaven Parish, Attn: Donna White, 1800 Steese Rd, Uniontown, OH 44685
  Parish Office Hours: M-F, 9:00 a.m. to 4:30 p.m.
  
  Will the child make their Confirmation this year? (8th & 9th Grades). REQUIRED Please fill out this field.
  
  Complete the following ONLY for students making Confirmation this year (usually 9th Grade). Note that there is an extra $35.00 Fee for those children being confirmed this year. Please check the Sacramental "Confirmation" fee box in the "Tuition and Payment Information" at the end of each child's form.
  
  Location of Baptism and Year Please enter valid data.
  
  Location of First Communion and Year Please enter valid data.
  
  If your child was NOT Baptized at Queen of Heaven Parish, please email, mail or bring a copy of your child's Baptismal Certificate and their First Holy Communion Record to the church office by September 19, 2022.
  Email: [email protected]
  Mail: Queen of Heaven Parish, Attn: Steve Dyer, 1800 Steese Rd, Uniontown, OH 44685
  Parish Office Hours: M-F, 9:00 a.m. to 4:30 p.m.
  
  If your child is making any sacrament this year please provide Mother's maiden name Please enter valid data.
  
  Child's Medical Information
  Allergies, medications, special needs, etc. Write in "None" if no medical concerns.
  
  Tuition and Payment Information
  
  All fees must be paid at the time of registration.
  
  Registration Fee REQUIRED
  45.0 – Registration Fee Please fill out this field.
  
  Sacramental Fee (if applicable)
  35.0 – First Holy Communion/Reconciliation Fee
  35.0 – Confirmation Fee (9th Grade or older)
  
  Child 2
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade during 22/23 School Year REQUIRED Please fill out this field.
  
  Gender of Child REQUIRED Please fill out this field.
  
  Birth Date REQUIRED Please fill out this field. Please enter a date.
  
  Child's address REQUIRED Please fill out this field. Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  Who does the child live with? REQUIRED Please fill out this field.
  
  Is the child Baptized? REQUIRED Please fill out this field.
  
  Has the child made their First Holy Communion? REQUIRED Please fill out this field.
  
  Complete the following ONLY for students making their First Holy Communion/First Reconciliation (usually 2nd Grade). Note that there is an extra $35.00 fee for those children making their First Holy Communion/Reconciliation this year. Please check the Sacramental "First Holy Communion" fee box in the "Tuition and Payment Information" at the end of each child's form.
  
  Location of Baptism and Year Please enter valid data.
  
  If your child was NOT Baptized at Queen of Heaven Parish, please email, mail or bring a copy of your child's Baptismal Certificate to the church office by September 19, 2022.
  Email: [email protected]
  Mail: Queen of Heaven Parish, Attn: Donna White, 1800 Steese Rd, Uniontown, OH 44685
  Parish Office Hours: M-F, 9:00 a.m. to 4:30 p.m.
  
  Will the child make their Confirmation this year? (8th & 9th Grades). REQUIRED Please fill out this field.
  
  Complete the following ONLY for students making Confirmation this year (usually 9th Grade). Note that there is an extra $35.00 Fee for those children being confirmed this year. Please check the Sacramental "Confirmation" fee box in the "Tuition and Payment Information" at the end of each child's form.
  
  Location of Baptism and Year Please enter valid data.
  
  Location of First Communion and Year Please enter valid data.
  
  If your child was NOT Baptized at Queen of Heaven Parish, please email, mail or bring a copy of your child's Baptismal Certificate and their First Holy Communion Record to the church office by September 19, 2022.
  Email: [email protected]
  Mail: Queen of Heaven Parish, Attn: Steve Dyer, 1800 Steese Rd, Uniontown, OH 44685
  Parish Office Hours: M-F, 9:00 a.m. to 4:30 p.m.
  
  If your child is making any sacrament this year please provide Mother's maiden name Please enter valid data.
  
  Child's Medical Information
  Allergies, medications, special needs, etc. Write in "None" if no medical concerns.
  
  Tuition and Payment Information
  
  All fees must be paid at the time of registration.
  
  Registration Fee REQUIRED
  45.0 – Registration Fee Please fill out this field.
  
  Sacramental Fee (if applicable)
  35.0 – First Holy Communion/Reconciliation Fee
  35.0 – Confirmation Fee (9th Grade or older)
  
  Child 3
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade during 22/23 School Year REQUIRED Please fill out this field.
  
  Gender of Child REQUIRED Please fill out this field.
  
  Birth Date REQUIRED Please fill out this field. Please enter a date.
  
  Child's address REQUIRED Please fill out this field. Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  Who does the child live with? REQUIRED Please fill out this field.
  
  Is the child Baptized? REQUIRED Please fill out this field.
  
  Has the child made their First Holy Communion? REQUIRED Please fill out this field.
  
  Complete the following ONLY for students making their First Holy Communion/First Reconciliation (usually 2nd Grade). Note that there is an extra $35.00 fee for those children making their First Holy Communion/Reconciliation this year. Please check the Sacramental "First Holy Communion" fee box in the "Tuition and Payment Information" at the end of each child's form.
  
  Location of Baptism and Year Please enter valid data.
  
  If your child was NOT Baptized at Queen of Heaven Parish, please email, mail or bring a copy of your child's Baptismal Certificate to the church office by September 19, 2022.
  Email: [email protected]
  Mail: Queen of Heaven Parish, Attn: Donna White, 1800 Steese Rd, Uniontown, OH 44685
  Parish Office Hours: M-F, 9:00 a.m. to 4:30 p.m.
  
  Will the child make their Confirmation this year? (8th & 9th Grades). REQUIRED Please fill out this field.
  
  Complete the following ONLY for students making Confirmation this year (usually 9th Grade). Note that there is an extra $35.00 Fee for those children being confirmed this year. Please check the Sacramental "Confirmation" fee box in the "Tuition and Payment Information" at the end of each child's form.
  
  Location of Baptism and Year Please enter valid data.
  
  Location of First Communion and Year Please enter valid data.
  
  If your child was NOT Baptized at Queen of Heaven Parish, please email, mail or bring a copy of your child's Baptismal Certificate and their First Holy Communion Record to the church office by September 19, 2022.
  Email: [email protected]
  Mail: Queen of Heaven Parish, Attn: Steve Dyer, 1800 Steese Rd, Uniontown, OH 44685
  Parish Office Hours: M-F, 9:00 a.m. to 4:30 p.m.
  
  If your child is making any sacrament this year please provide Mother's maiden name Please enter valid data.
  
  Child's Medical Information
  Allergies, medications, special needs, etc. Write in "None" if no medical concerns.
  
  Tuition and Payment Information
  
  All fees must be paid at the time of registration.
  
  Registration Fee REQUIRED
  45.0 – Registration Fee Please fill out this field.
  
  Sacramental Fee (if applicable)
  35.0 – First Holy Communion/Reconciliation Fee
  35.0 – Confirmation Fee (9th Grade or older)
  
  Child 4
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade during 22/23 School Year REQUIRED Please fill out this field.
  
  Gender of Child REQUIRED Please fill out this field.
  
  Birth Date REQUIRED Please fill out this field. Please enter a date.
  
  Child's address REQUIRED Please fill out this field. Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  Who does the child live with? REQUIRED Please fill out this field.
  
  Is the child Baptized? REQUIRED Please fill out this field.
  
  Has the child made their First Holy Communion? REQUIRED Please fill out this field.
  
  Complete the following ONLY for students making their First Holy Communion/First Reconciliation (usually 2nd Grade). Note that there is an extra $35.00 fee for those children making their First Holy Communion/Reconciliation this year. Please check the Sacramental "First Holy Communion" fee box in the "Tuition and Payment Information" at the end of each child's form.
  
  Location of Baptism and Year Please enter valid data.
  
  If your child was NOT Baptized at Queen of Heaven Parish, please email, mail or bring a copy of your child's Baptismal Certificate to the church office by September 19, 2022.
  Email: [email protected]
  Mail: Queen of Heaven Parish, Attn: Donna White, 1800 Steese Rd, Uniontown, OH 44685
  Parish Office Hours: M-F, 9:00 a.m. to 4:30 p.m.
  
  Will the child make their Confirmation this year? (8th & 9th Grades). REQUIRED Please fill out this field.
  
  Complete the following ONLY for students making Confirmation this year (usually 9th Grade). Note that there is an extra $35.00 Fee for those children being confirmed this year. Please check the Sacramental "Confirmation" fee box in the "Tuition and Payment Information" at the end of each child's form.
  
  Location of Baptism and Year Please enter valid data.
  
  Location of First Communion and Year Please enter valid data.
  
  If your child was NOT Baptized at Queen of Heaven Parish, please email, mail or bring a copy of your child's Baptismal Certificate and their First Holy Communion Record to the church office by September 19, 2022.
  Email: [email protected]
  Mail: Queen of Heaven Parish, Attn: Steve Dyer, 1800 Steese Rd, Uniontown, OH 44685
  Parish Office Hours: M-F, 9:00 a.m. to 4:30 p.m.
  
  If your child is making any sacrament this year please provide Mother's maiden name Please enter valid data.
  
  Child's Medical Information
  Allergies, medications, special needs, etc. Write in "None" if no medical concerns.
  
  Tuition and Payment Information
  
  All fees must be paid at the time of registration.
  
  Registration Fee REQUIRED
  45.0 – Registration Fee Please fill out this field.
  
  Sacramental Fee (if applicable)
  35.0 – First Holy Communion/Reconciliation Fee
  35.0 – Confirmation Fee (9th Grade or older)
  
  Child 5
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade during 22/23 School Year REQUIRED Please fill out this field.
  
  Gender of Child REQUIRED Please fill out this field.
  
  Birth Date REQUIRED Please fill out this field. Please enter a date.
  
  Child's address REQUIRED Please fill out this field. Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  Who does the child live with? REQUIRED Please fill out this field.
  
  Is the child Baptized? REQUIRED Please fill out this field.
  
  Has the child made their First Holy Communion? REQUIRED Please fill out this field.
  
  Complete the following ONLY for students making their First Holy Communion/First Reconciliation (usually 2nd Grade). Note that there is an extra $35.00 fee for those children making their First Holy Communion/Reconciliation this year. Please check the Sacramental "First Holy Communion" fee box in the "Tuition and Payment Information" at the end of each child's form.
  
  Location of Baptism and Year Please enter valid data.
  
  If your child was NOT Baptized at Queen of Heaven Parish, please email, mail or bring a copy of your child's Baptismal Certificate to the church office by September 19, 2022.
  Email: [email protected]
  Mail: Queen of Heaven Parish, Attn: Donna White, 1800 Steese Rd, Uniontown, OH 44685
  Parish Office Hours: M-F, 9:00 a.m. to 4:30 p.m.
  
  Will the child make their Confirmation this year? (8th & 9th Grades). REQUIRED Please fill out this field.
  
  Complete the following ONLY for students making Confirmation this year (usually 9th Grade). Note that there is an extra $35.00 Fee for those children being confirmed this year. Please check the Sacramental "Confirmation" fee box in the "Tuition and Payment Information" at the end of each child's form.
  
  Location of Baptism and Year Please enter valid data.
  
  Location of First Communion and Year Please enter valid data.
  
  If your child was NOT Baptized at Queen of Heaven Parish, please email, mail or bring a copy of your child's Baptismal Certificate and their First Holy Communion Record to the church office by September 19, 2022.
  Email: [email protected]
  Mail: Queen of Heaven Parish, Attn: Steve Dyer, 1800 Steese Rd, Uniontown, OH 44685
  Parish Office Hours: M-F, 9:00 a.m. to 4:30 p.m.
  
  If your child is making any sacrament this year please provide Mother's maiden name Please enter valid data.
  
  Child's Medical Information
  Allergies, medications, special needs, etc. Write in "None" if no medical concerns.
  
  Tuition and Payment Information
  
  All fees must be paid at the time of registration.
  
  Registration Fee REQUIRED
  45.0 – Registration Fee Please fill out this field.
  
  Sacramental Fee (if applicable)
  35.0 – First Holy Communion/Reconciliation Fee
  35.0 – Confirmation Fee (9th Grade or older)
  
  Child 6
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade during 22/23 School Year REQUIRED Please fill out this field.
  
  Gender of Child REQUIRED Please fill out this field.
  
  Birth Date REQUIRED Please fill out this field. Please enter a date.
  
  Child's address REQUIRED Please fill out this field. Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  Who does the child live with? REQUIRED Please fill out this field.
  
  Is the child Baptized? REQUIRED Please fill out this field.
  
  Has the child made their First Holy Communion? REQUIRED Please fill out this field.
  
  Complete the following ONLY for students making their First Holy Communion/First Reconciliation (usually 2nd Grade). Note that there is an extra $35.00 fee for those children making their First Holy Communion/Reconciliation this year. Please check the Sacramental "First Holy Communion" fee box in the "Tuition and Payment Information" at the end of each child's form.
  
  Location of Baptism and Year Please enter valid data.
  
  If your child was NOT Baptized at Queen of Heaven Parish, please email, mail or bring a copy of your child's Baptismal Certificate to the church office by September 19, 2022.
  Email: [email protected]
  Mail: Queen of Heaven Parish, Attn: Donna White, 1800 Steese Rd, Uniontown, OH 44685
  Parish Office Hours: M-F, 9:00 a.m. to 4:30 p.m.
  
  Will the child make their Confirmation this year? (8th & 9th Grades). REQUIRED Please fill out this field.
  
  Complete the following ONLY for students making Confirmation this year (usually 9th Grade). Note that there is an extra $35.00 Fee for those children being confirmed this year. Please check the Sacramental "Confirmation" fee box in the "Tuition and Payment Information" at the end of each child's form.
  
  Location of Baptism and Year Please enter valid data.
  
  Location of First Communion and Year Please enter valid data.
  
  If your child was NOT Baptized at Queen of Heaven Parish, please email, mail or bring a copy of your child's Baptismal Certificate and their First Holy Communion Record to the church office by September 19, 2022.
  Email: [email protected]
  Mail: Queen of Heaven Parish, Attn: Steve Dyer, 1800 Steese Rd, Uniontown, OH 44685
  Parish Office Hours: M-F, 9:00 a.m. to 4:30 p.m.
  
  If your child is making any sacrament this year please provide Mother's maiden name Please enter valid data.
  
  Child's Medical Information
  Allergies, medications, special needs, etc. Write in "None" if no medical concerns.
  
  Tuition and Payment Information
  
  All fees must be paid at the time of registration.
  
  Registration Fee REQUIRED
  45.0 – Registration Fee Please fill out this field.
  
  Sacramental Fee (if applicable)
  35.0 – First Holy Communion/Reconciliation Fee
  35.0 – Confirmation Fee (9th Grade or older)
  
  Late Fee Per Each Family (for registration after Wednesday, August 31, 2022)0.0
  
  Family Information
  
  Parent 1 (or Guardian)
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Parent 2 (or Guardian)
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Phone Number Maximum 20 characters Please enter a phone number.
  
  Email Please enter an email address.
  
  Is your family registered at Queen of Heaven REQUIRED Please fill out this field.
  
  If no, then what parish are you registered at?
  
  Emergency Contact Information (for all children in the family)
  
  In the event of an accident or serious medical illness requiring medical attention 9-1-1 will be called. PSR staff will then attempt to contact the mother or father (or guardian). Failing this, an attempt will be made to contact the emergency contacts.
  
  Emergency Contact(s), First(s) and Last Name(s), and Phone Number(s) REQUIRED Please fill out this field.
  
  Preferred Hospital Please enter valid data.
  
  Physician's Name Please enter valid data.
  
  Photo Release
  
  I (We) the parent(s) and or guardian(s) of the child(ren) listed on this form do hereby consent and authorize the use of any and all photographs taken at Queen of Heaven Parish and PSR events to be used on our website or bulletin boards, or for publicity or parish archives.
  
  Consent REQUIRED
  By checking one of these boxes, it acts as your signature for consent.
  Please fill out this field.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  PAYMENT IS DUE AT THE TIME OF REGISTRATION! Please click on the "Proceed to Payment" below. Registration deadline is Wednesday, August 25, 2022. A $25.00 late fee will be added into your family registration, effective September 1, 2022.
  Note: All parish children are welcome to participate in our Parish School of Religion program. If financial burdens require special consideration, please contact the PSR ministry at [email protected], Upper Room H.S. Ministry at [email protected] or the parish office at [email protected].
  
  Total:
  
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