Catholic Parish of All Saints, Liverpool-RCIA Registration Form
RCIA (Rite of Christian Initiation of Adults) for High School Students (in Years 7-12) registration form.
Details for child participating in RCIA High
Childs Name
*
First Name
Middle Name
Last Name
Date of Birth
*
Gender
*
Please Select
Male
Female
N/A
Grade
*
School
*
Allergies
Medical Conditions/Learning Difficulties
Type none if there are no medical conditions/learning difficulties
PARENT/GUARDIAN INFORMATION
List below the name(s) of parent(s)/guardian(s) and present religious affiliation, if any
Parent or Guardian Name 1
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Contact Number
*
-
Area Code
Phone Number
Email
*
Religious Affiliation
*
Roman Catholic
Eastern Catholic e,g Ukrainian Greek, Syro-Malabar, Maronite, Melkite, Chaldean, Armenian
Christian e,g Anglican, Pentecostal, Baptist, Methodist, Uniting Church etc.
Islam
Jewish
Hindu
None
Other
Occupation
Parent or Guardian Name 2
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Contact Number
Please enter a valid phone number.
Email
example@example.com
Occupation
Religious Affiliation
Roman Catholic
Eastern Catholic e,g Ukrainian Greek, Syro-Malabar, Maronite, Melkite, Chaldean, Armenian
Christian e,g Anglican, Pentecostal, Baptist, Methodist, Uniting Church etc.
Islam
Jewish
Hindu
None
Other
Child Religious History
Has your child ever been baptised?
*
Yes
No
Unsure
If you answered "Yes" above, please provide the following information: In what denomination was your child been baptised?
Date or approximate age when your child was baptised?
Place of Baptism (name of church/denomination)
Address if known:
City and state if known; country if not Australia
Parent/Guardian Declaration
I hereby declare that the information given by me in the Application is true, complete and correct to the best of my knowledge and belief and that nothing has been concealed or distorted. I also understand that a member of the RCIA high team will contact me for a pastoral interview.
Parent/Guardian Signature
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