Mary Queen of Heaven

Cincinnati, OH

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Registration Form

- PSR & Sacramental Prep
  - MQH First Reconciliation & First Communion
  - MQH Confirmation
    
    PSR Registration/Sacrament of Confirmation Request Form
    
    Request for the Sacrament of Confirmation (St. Bernard & St. James Schools)
Contact Us
- Barbara Yoder
  
  Director of Evangelization
  
  513-353-4207 ext. 5
  yoderstbernardtc.org

This form is not accepting responses at this time.
- PSR Registration/Sacrament of Confirmation Request Form
  
  2026 -2027 PSR Youth Confirmation Preparation Program, for MQH students at OLG and public schools who are being prepared in the MQH PSR Confirmation Preparation and
  the Confirmation Retreat.
  
  If your child attends either St. James or St. Bernard Schools, please follow the link to the proper form CLICK HERE
- Parent/Student Agreement:
  
  SACRAMENT PREPARATION REQUIREMENTS
  
  By registering your child with Mary, Queen of Heaven, for Confirmation Preparation you affirm the following by checking the "I agree" box:
- I understand my PSR student(s) need to submit the Archdiocese of Cincinnati emergency medical, liability, and media release form prior to the first class.
  I understand that I am required to attend one of the parent information meetings.
  I am a parishioner registering my child, who is also a parishioner of a MQH parish, for the Confirmation preparation program. If you and/or your child are not a parishioner or any of any of the three churches, you have received proper permission from your pastor and Mrs. Barbara Yoder (Director of Evangelization) to be part of our sacrament.
  Your child has been baptized and has received First Communion in the Catholic Church, and you will be asked to provide a baptismal record at the parent orientation meeting or by November 23rd, if it has not been provided to their parish school.
  Your child practices their Catholic faith regularly and your family makes Sunday Mass attendance a priority.
  You are aware of the schedule of classes, retreat, and practice for Confirmation, and will be prioritize preparation for the period in which it takes place, understanding that repeated absences could result in the delay of the sacrament of Confirmation.
- I Agree Please select this field.
- Candidate Information:
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Nick Name Please enter valid data.
  
  Full Name (as should appear on certificate, bulletin & program) REQUIRED Please fill out this field. Please enter valid data.
  
  Candidates Home 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.
  
  Select parish where you and your family are registered: REQUIRED Please fill out this field.
  
  Gender REQUIRED Please fill out this field.
  
  Candidate's date of birth REQUIRED Please fill out this field. Please enter valid data.
  
  City & State of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Age REQUIRED Please fill out this field. Please enter valid data.
  
  Place of Baptism (Church, city, & state) REQUIRED Please fill out this field. Please enter valid data.
  
  Has your child received the sacrament of Eucharist? REQUIRED Please fill out this field.
  
  School attending: REQUIRED Please fill out this field. Please enter valid data.
  
  Grade: REQUIRED Please fill out this field. Please enter valid data.
  
  Language spoken: REQUIRED Please fill out this field.
  
  Can your child receive instruction in English? REQUIRED Please fill out this field.
  
  Home 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.
- Previous Religious Education Attended
  
  Please check off all that apply: REQUIRED My child attended St. James or St. Bernard School My child attended Our Lady of Grace or other Catholic grade school My child attended MQH Summer or School Year PSR (Parish School of Religion) My child attended another Catholic parish PSR program Other Please fill out this field.
  
  If other please state where: Please enter valid data.
- Parent Information
  
  Primary Contact REQUIRED Please fill out this field.
  
  If other, please list relationship to candidate Please enter valid data.
  
  Are parents married to each other? REQUIRED Please fill out this field.
  
  If parents are divorced, please name custodial parent Please enter valid data.
  
  Primary Contact Email REQUIRED Please fill out this field. Please enter an email address.
  
  Primary Contact Phone Number: REQUIRED Please fill out this field. Please enter valid data.
  
  Mother's Full Name (maiden name) REQUIRED Please fill out this field. Please enter valid data.
  
  Father's Full Name REQUIRED Please fill out this field. Please enter valid data.
  
  Other Parent's Email REQUIRED Please fill out this field. Please enter valid data.
  
  Other Parent's Phone Number Please enter valid data.
- Emergency Contact Information (Non Parent)
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Relation to the candidate REQUIRED Please fill out this field. Please enter valid data.
  
  Phone Number REQUIRED
  
  Please fill out this field. Please enter a phone number.
- Sponsor Information
  
  Sponsor Requirements are posted below. Sponsor forms are due at orientation. If your candidate has not yet chosen a sponsor, put NA for the name, and list your contact information. Sponsor selection and forms are due at ORIENTATION or by Nov. 23rd.
  
  SPONSOR REQUIREMENTS & EXPECTATIONS
  
  Requirements:
  Sponsor is NOT a parent, stepparent, or adoptive parent of the candidate
  Sponsor is at least 16 years old
  Sponsor is a registered and active member of a Catholic Parish
  Sponsor is not under any canonical impediments to being a sponsor (such as a currently in a marriage that is not recognized by the Catholic Church)
  Sponsor has received the sacraments of Baptism, Eucharist, and Confirmation
  
  Expectations:
  Attend Confirmation practice and the Confirmation Mass
  Fill out the Confirmation Sponsor Form, sign and return it.
  Make time for an interview by the candidate; they have prescribed questions.
  Spend some one-on-one time with the candidate.
  Get involved in a service activity together.
  Pray for the candidate regularly
  
  I HAVE READ THE SPONSOR REQUIREMENTS & EXPECTATIONS AND MY CANDIDATE'S SPONSOR FULFILLS THEM (OR WILL FULFILL THEM IF MY SPONSOR IS NOT CHOSEN YET).
  
  I Agree Please select this field.
  
  Sponsor's first & last name Please enter valid data.
  
  Sponsor's email address Please enter valid data.
  
  Sponsor's phone number Please enter valid data.
- Confirmation Retreat
  
  The parish family has contracted with Net Ministries to provide an exciting and inspiring retreat for our youth who are preparing for Confirmation. So that we know how many students plan to attend, we need everyone to register for the retreat with their Confirmation registration. Space for the January retreat is limited to 90; if the retreat registrants hit the max number, another prayer and reflection gathering will be provided in lieu of the Net Ministries retreat. PLEASE SIGN UP NOW, BELOW.
  
  Retreat Options REQUIRED Please fill out this field.
  
  Comments or Questions Please enter valid data.
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