(RCIA) RITE OF CHRISTIAN INITIATION SACRAMENTS OF BAPTISM AND EUCHARIST FOR CHILDREN

(RCIA) RITE OF CHRISTIAN INITIATION SACRAMENTS OF BAPTISM AND EUCHARIST FOR CHILDREN

AGES of 7 to 13
Birth Certificate needed
Name

First NameLast Name
Date of Birth

MonthDayYear
Date
Place
Yes
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Father's Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Mother's Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Language Spoken
Name of School
Grade in September
CONSENT
I consent to have photographs and /or video taken of my child (ren ) for use b y Our Lady of the Assumption Parish . I understand that any photographs /video would be used solely to illustrate activities that take place at Our Lady of the AssumptionI do NOT give my permission to have my son(s)/daughter(s) photographed or videotaped.
Parent/Guardian printed name:
Signature

Clear
The fee for a child to take this class is $40.
Should be Empty:

CONSENT