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Saint Rita Parish
PSR
Online Registration Form 2023-2024
Questions - Contact Us
Joyce Rodenfels
440-248-1350-ext 118
jrodenfels@stritaparish.com
Parent Contact Information
Are your family members registered parishioners of Saint Rita?
*
Yes
No
Mother's First Name
*
Mother's Last Name
*
Mother's Cell Phone
*
Mother's Email
*
Mother's Address
*
Zip Code
*
City
*
Father's First Name
*
Father's Last Name
*
Father's Cell Phone
*
Father's Email
*
Father's Address (if different)
City
Zip Code
Emergency Contact Information (Other than Parent)
If we are unable to reach you and need to contact a person in an emergency, please provide the information below as well as contact information that will be most effective.
Name
*
Relationship
*
Cell Phone Number
*
Email Address
*