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OCIC - Child Registration Form

- Faith Formation
  - EDUCATION
    
    Parish School of Religion (PSR)
    OCIA - Adult / OCIC - Child
    
    OCIC - Child Registration Form
    
    OCIA -Adult Registration Form
    OCIA Sponsor Form
    
    Vacation Bible School
    Resources
    FORMED - Forming Catholics for Life
  - SACRAMENTAL PREPARATION
    
    First Reconciliation & First Communion
    Confirmation
  - OUR SCHOOLS
    
    Holy Family Pre-K3
    Holy Family School

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- CHILDS INFORMATION
  
  Name (First, Middle, Last, (please include any Suffix - example Sr., Jr., III, etc.) REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Place of Birth 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.
  
  Age REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Please fill out this field.
  
  Name of School / Grade REQUIRED Please fill out this field. Please enter valid data.
  
  Has this child ever been baptized? REQUIRED Please fill out this field.
  
  If you answered "Yes," please provide the following information:
- In what denomination was child baptized? Please enter valid data.
- Date or approximate age when child was baptized: Please enter valid data.
- Place of Baptism (Name of Church): Please enter valid data.
- Address, if known: Please enter valid data.
- City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
- If baptized as a Catholic, check all sacraments child has received: Penance(Reconciliation) 1st Communion Confirmation
- Are one or both parents registered for the Adult OCIA class? REQUIRED Please fill out this field.
- Is family registered at Holy Family Parish? REQUIRED Please fill out this field.
- Father's Full Name (First, Middle, Last) REQUIRED Please fill out this field. Please enter valid data.
- Father's Marital Status REQUIRED Please fill out this field.
- Father's Phone Number REQUIRED Please fill out this field. Please enter valid data.
- Father's Religion REQUIRED Please fill out this field. Please enter valid data.
- Is Father practicing his faith? REQUIRED Please fill out this field.
- Mother's Full Name (First, Maiden, Last) REQUIRED Please fill out this field. Please enter valid data.
- Mother's Marital Status REQUIRED Please fill out this field.
- Mother's Phone Number REQUIRED Please fill out this field. Please enter valid data.
- Mother's Religion REQUIRED Please fill out this field. Please enter valid data.
- Is Mother practicing her faith? REQUIRED Please fill out this field.
- Child's 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.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Emergency Contact (Not Parent) REQUIRED Please fill out this field. Please enter valid data.
- Emergency Contact's Relationship to Child REQUIRED Please fill out this field. Please enter valid data.
- Phone Number of Emergency Contact REQUIRED Please fill out this field. Please enter valid data.
- Does child live with parent(s) REQUIRED Please fill out this field.
- If you answered "No", please provide name/phone number with whom child lives Please enter valid data.
- Primary Contact REQUIRED Please fill out this field.
- If you selected "Other" please list Name and Phone Number of Primary Contact.
- Any Known Allergies? REQUIRED Please fill out this field.
- If yes, please list Allergies, If No, please type "None" REQUIRED Please fill out this field. Please enter valid data.
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