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 AND UPPER ROOM/CONFIRMATION REGISTRATION FOR 2021-22 SCHOOL YEAR
  
  NOTE: STARTING SEPTEMBER 1, 2021, A LATE FEE OF $10.00 WILL BE ADDED TO YOUR FAMILY REGISTRATION (NORMAL REGISTRATION ENDED ON AUGUST 31, 2021).
  
  PSR/High School Student Parents, please fill out the registration form below for all your children (for the 2021-2022 school year). All fees are due at the time of registration. On-line payment has to be made when submitting this form.
  
  The Registration Fee per child (PreK-12th Grade) is $40.00.
  
  If your child will be making their First Holy Communion/First Reconciliation this year (usually 2nd Grade), there is an additional Sacramental Fee of $35.00.
  
  If your child will be Confirmed this year (usually 9th Grade), 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, 2021. There will be a late fee of $10.00 for each family registration submitted on or after September 1, 2021. Thank you for signing up early!
  
  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, 2021.
  Email: psr@qofh.church
  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, 2021.
  Email: SteveD@qofh.church
  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 psr@qofh.church, Upper Room H.S. Ministry at steved@qofh.church or the parish office at office@qofh.church.
  
  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.
  
  Family Information
  
  Parent 1/Father's Name (First and Last) REQUIRED Please fill out this field. Please enter valid data.
  
  Street 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.
  
  Parent 1/Father's Email REQUIRED Please fill out this field. Please enter an email address.
  
  Parent 1/Father's Phone Number (Cell) REQUIRED Please fill out this field. Please enter a phone number.
  
  Parent 2/Mother's Name (First and Last) REQUIRED Please fill out this field. Please enter valid data.
  
  Parent 2/Mother's Maiden Name REQUIRED Please fill out this field. Please enter valid data.
  
  Street 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.
  
  Parent 2/Mother's Email REQUIRED Please fill out this field. Please enter an email address.
  
  Parent 2/Mother's Phone Number (Cell) REQUIRED Please fill out this field. Please enter a phone number.
  
  Is your family registered at Queen of Heaven REQUIRED Yes No Please fill out this field.
  
  If no, then what parish are you registered at? Please enter valid data.
  
  We use Flocknote as our parish communication system. What is the preferred email for important information REQUIRED Please fill out this field.
  
  Preferred Cell Number to send a text to in case of emergency. REQUIRED Please fill out this field.
  
  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.
  
  Who does the child live with? REQUIRED Please fill out this field.
  
  Guardian Name/Phone/Address (ONLY IF APPLICABLE) Please enter valid data.
  
  Birth Date REQUIRED Please fill out this field. Please enter a date.
  
  Gender of Child REQUIRED Please fill out this field.
  
  Grade during 21/22 School Year 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.
  
  Will the child make their First Holy Communion this year? 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, 2021.
  Email: psr@qofh.church
  Mail: Queen of Heaven Parish,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? (Usually 9th Grade). 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, 2021.
  Email: SteveD@qofh.church
  Mail: Queen of Heaven Parish,1800 Steese Rd, Uniontown, OH 44685
  Parish Office Hours: M-F, 9:00 a.m. to 4:30 p.m.
  
  Child's Medical Information REQUIRED
  Allergies, medications, special needs, etc. Write in "None" if no medical concerns.
  Please fill out this field.
  
  Tuition and Payment Information
  
  All fees must be paid at the time of registration.
  
  Registration Fee REQUIRED
  40.0 – PreK-12 Registration Fee (each child) Please fill out this field.
  
  Sacramental Fee (if applicable)
  35.0 – First Holy Communion (2nd Grade)
  35.0 – Confirmation (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.
  
  Who does the child live with? REQUIRED Please fill out this field.
  
  Guardian Name/Phone/Address (ONLY IF APPLICABLE) Please enter valid data.
  
  Birth Date REQUIRED Please fill out this field. Please enter a date.
  
  Gender of Child REQUIRED Please fill out this field.
  
  Grade during 21/22 School Year 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.
  
  Will the child make their First Holy Communion this year? 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, 2021.
  Email: psr@qofh.church
  Mail: Queen of Heaven Parish,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? (Usually 9th Grade). 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, 2021.
  Email: SteveD@qofh.church
  Mail: Queen of Heaven Parish,1800 Steese Rd, Uniontown, OH 44685
  Parish Office Hours: M-F, 9:00 a.m. to 4:30 p.m.
  
  Child's Medical Information REQUIRED
  Allergies, medications, special needs, etc. Write in "None" if no medical concerns.
  Please fill out this field.
  
  Tuition and Payment Information
  
  All fees must be paid at the time of registration.
  
  Registration Fee REQUIRED
  40.0 – PreK-12 Registration Fee (each child) Please fill out this field.
  
  Sacramental Fee (if applicable)
  35.0 – First Holy Communion (2nd Grade)
  35.0 – Confirmation (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.
  
  Who does the child live with? REQUIRED Please fill out this field.
  
  Guardian Name/Phone/Address (ONLY IF APPLICABLE) Please enter valid data.
  
  Birth Date REQUIRED Please fill out this field. Please enter a date.
  
  Gender of Child REQUIRED Please fill out this field.
  
  Grade during 21/22 School Year 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.
  
  Will the child make their First Holy Communion this year? 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, 2021.
  Email: psr@qofh.church
  Mail: Queen of Heaven Parish,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? (Usually 9th Grade). 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, 2021.
  Email: SteveD@qofh.church
  Mail: Queen of Heaven Parish,1800 Steese Rd, Uniontown, OH 44685
  Parish Office Hours: M-F, 9:00 a.m. to 4:30 p.m.
  
  Child's Medical Information REQUIRED
  Allergies, medications, special needs, etc. Write in "None" if no medical concerns.
  Please fill out this field.
  
  Tuition and Payment Information
  
  All fees must be paid at the time of registration.
  
  Registration Fee REQUIRED
  40.0 – PreK-12 Registration Fee (each child) Please fill out this field.
  
  Sacramental Fee (if applicable)
  35.0 – First Holy Communion (2nd Grade)
  35.0 – Confirmation (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.
  
  Who does the child live with? REQUIRED Please fill out this field.
  
  Guardian Name/Phone/Address (ONLY IF APPLICABLE) Please enter valid data.
  
  Birth Date REQUIRED Please fill out this field. Please enter a date.
  
  Gender of Child REQUIRED Please fill out this field.
  
  Grade during 21/22 School Year 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.
  
  Will the child make their First Holy Communion this year? 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, 2021.
  Email: psr@qofh.church
  Mail: Queen of Heaven Parish,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? (Usually 9th Grade). 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, 2021.
  Email: SteveD@qofh.church
  Mail: Queen of Heaven Parish,1800 Steese Rd, Uniontown, OH 44685
  Parish Office Hours: M-F, 9:00 a.m. to 4:30 p.m.
  
  Child's Medical Information REQUIRED
  Allergies, medications, special needs, etc. Write in "None" if no medical concerns.
  Please fill out this field.
  
  Tuition and Payment Information
  
  All fees must be paid at the time of registration.
  
  Registration Fee REQUIRED
  40.0 – PreK-12 Registration Fee (each child) Please fill out this field.
  
  Sacramental Fee (if applicable)
  35.0 – First Holy Communion (2nd Grade)
  35.0 – Confirmation (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.
  
  Who does the child live with? REQUIRED Please fill out this field.
  
  Guardian Name/Phone/Address (ONLY IF APPLICABLE) Please enter valid data.
  
  Birth Date REQUIRED Please fill out this field. Please enter a date.
  
  Gender of Child REQUIRED Please fill out this field.
  
  Grade during 21/22 School Year 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.
  
  Will the child make their First Holy Communion this year? 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, 2021.
  Email: psr@qofh.church
  Mail: Queen of Heaven Parish,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? (Usually 9th Grade). 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, 2021.
  Email: SteveD@qofh.church
  Mail: Queen of Heaven Parish,1800 Steese Rd, Uniontown, OH 44685
  Parish Office Hours: M-F, 9:00 a.m. to 4:30 p.m.
  
  Child's Medical Information REQUIRED
  Allergies, medications, special needs, etc. Write in "None" if no medical concerns.
  Please fill out this field.
  
  Tuition and Payment Information
  
  All fees must be paid at the time of registration.
  
  Registration Fee REQUIRED
  40.0 – PreK-12 Registration Fee (each child) Please fill out this field.
  
  Sacramental Fee (if applicable)
  35.0 – First Holy Communion (2nd Grade)
  35.0 – Confirmation (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.
  
  Who does the child live with? REQUIRED Please fill out this field.
  
  Guardian Name/Phone/Address (ONLY IF APPLICABLE) Please enter valid data.
  
  Birth Date REQUIRED Please fill out this field. Please enter a date.
  
  Gender of Child REQUIRED Please fill out this field.
  
  Grade during 21/22 School Year 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.
  
  Will the child make their First Holy Communion this year? 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, 2021.
  Email: psr@qofh.church
  Mail: Queen of Heaven Parish,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? (Usually 9th Grade). 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, 2021.
  Email: SteveD@qofh.church
  Mail: Queen of Heaven Parish,1800 Steese Rd, Uniontown, OH 44685
  Parish Office Hours: M-F, 9:00 a.m. to 4:30 p.m.
  
  Child's Medical Information REQUIRED
  Allergies, medications, special needs, etc. Write in "None" if no medical concerns.
  Please fill out this field.
  
  Tuition and Payment Information
  
  All fees must be paid at the time of registration.
  
  Registration Fee REQUIRED
  40.0 – PreK-12 Registration Fee (each child) Please fill out this field.
  
  Sacramental Fee (if applicable)
  35.0 – First Holy Communion (2nd Grade)
  35.0 – Confirmation (9th Grade or older)
  
  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 REQUIRED Please fill out this field. Please enter valid data.
  
  Physician's Name REQUIRED Please fill out this field. 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.
  
  Today's Date REQUIRED Please fill out this field. Please enter a date.
  
  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. A $10.00 late fee will be added into your family registration after September 1, 2021 (SEE BELOW).
  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 psr@qofh.church, Upper Room H.S. Ministry at steved@qofh.church or the parish office at office@qofh.church.
  
  Late Fee (Late Registration after September 1, 2021)10.0
  
  Total:
  
  Submit
  
  Proceed to Payment
  
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