O.C.I.C. Child Registration

O.C.I.A. (Order of Christian Initiation of Children) Child Registration Form
Today's Date:

MonthDayYear
Date
Child's Name:*

First NameLast Name
Mother's Name:

First NameLast Name
Father's Name:

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
School name: School Name Grade: grade

Are you currently enrolled in Family Faith Formation at St. Jude of the Lake?
yes   no
If no, please indicate where you are currently enrolled:   enrolled for Faith Formation
If Baptized:

**Your Baptism Certificate is required**
Place of Birth: City, State* Birth date: Birthdate*
Place of Baptism: Street Address Address Line 2 City State Zip Baptism date: Baptism Date*
Should be Empty:

O.C.I.A. (Order of Christian Initiation of Children) Child Registration Form