RCIA for Children (Keiki Ages 7 – 17) Registration Form

CHILD INFORMATION

Name *

First

Middle

Last

Birthdate *

Age

Place of Birth

Gender

Male
Female

Current Grade Level

School

PARENT/GUARDIAN INFORMATION

Father's Name

First

Middle

Last

Father's Phone

Father's Email

Father's Religious Affiliation

Mother's Name

First

Middle

Last

Mother's Phone

Mother's Email

Mother's Religious Affiliation

Mailing Address *

Address Line 1

Address Line 2

City

State

Zip Code

Physical Address (if different from above)

Address Line 1

Address Line 2

City

State

Zip Code

SPONSOR INFORMATION

One sponsor, male or female, is sufficient; but there may be two, one of each gender. (c.873) The sponsor must not be either the father or the mother of the one to be baptized. (c.874 §1,5) The sponsor must have received the sacraments of Baptism, Confirmation and Eucharist, be a practicing Catholic, and be at least 16 years of age. (c. 874) ***A copy of the Sponsor’s Certificate of Confirmation is required to accompany this completed registration form***

Sponsor Name *

First

Middle

Last

Sponsor's Phone

Sponsor's Email

GENERAL QUESTIONS

Please describe the types of religious education (if any) in which your child has participated *

What contact (if any) has your child had with the Catholic Church to this point? *

File Upload *

Drag & Drop Files, Choose Files to Upload You can upload up to 5 files.

Include your child’s birth certificate and Sponsor’s Certificate of confirmation.

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