OCIA Registration Form 2025 English

Date of Registration*

Date

Full legal name of the adult seeking initiation or the main contact parent of the child/teen enrolling (if you have a nickname, please include in quotes)*

What is your religion?*

If married, what is your spouse's name?

If married, what is your spouse's religion?

Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number - Cell (Mobile)

Please enter a valid phone number.Format: (000) 000-0000.

Phone Number - Home

Please enter a valid phone number.Format: (000) 000-0000.

YesNo

Email Address

example@example.com

Please fill in below the name and information of the people who will be attending O.C.I.A. sessions - those preparing for Sacraments, family members and/or Sponsors. Remember that at least one adult must attend if children or teens under the age of 18 are registered.

(If you are not bringing anyone else, enter your name and information so that we have it on file)

All those who are unbaptized will be seeking the Sacraments of Initiation (Baptism, Eucharist and Confirmation) and will receive them all at one time, usually during the Easter Vigil after a significant time of preparation. Children/teens must be over the age of 7. Siblings who are not seeking initiation and who are over the age of 7 may attend class with them but they will not receive their Sacraments if they already have them. We love to see the whole family learning and walking this journey of Faith together.

Full legal Name of adult, child or teen 1*

Person 1's relationship in the family*

Birthday of person 1*

Date

Grade of person 1, if under the age of 18

If applying during the summer, this is the grade the student will be going in this coming school year

Gender of person 1*

Current Religion of person 1*

Sacraments that person 1 does NOT HAVE and is preparing for:*

Preferred class language for person 1*

Preferred Mass language for person 1*

Full legal Name of adult, child or teen 2

Person 2's relationship in the family

Birthday of person 2

Date

Grade of person 2, if under the age of 18

If applying during the summer, this is the grade the student will be going in this coming school year

Gender of person 2

Current Religion of person 2

Sacraments that person 2 does NOT HAVE and is preparing for:

Preferred class language for person 2

Preferred Mass language for person 2

Full legal Name of adult, child or teen 3

Person 3's relationship in the family

Birthday of person 3

Date

Grade of person 3, if under the age of 18

If applying during the summer, this is the grade the student will be going in this coming school year

Gender of person 3

Current Religion of person 3

Sacraments that person 3 does NOT HAVE and is preparing for:

Preferred class language for person 3

Preferred Mass language for person 3

Full legal Name of adult, child or teen 4

Person 4's relationship in the family

Birthday of person 4

Date

Grade of person 4, if under the age of 18

If applying during the summer, this is the grade the student will be going in this coming school year

Gender of person 4

Current Religion of person 4

Sacraments that person 4 does NOT HAVE and is preparing for:

Preferred class language for person 4

Preferred Mass language for person 4

Full legal Name of adult, child or teen 5

Person 5's relationship in the family

Birthday of person 5

Date

Grade of person 5, if under the age of 18

If applying during the summer, this is the grade the student will be going in this coming school year

Gender of person 5

Current Religion of person 5

Sacraments that person 5 does NOT HAVE and is preparing for:

Preferred class language for person 5

Preferred Mass language for person 5

Full legal Name of adult, child or teen 6

Person 6's relationship in the family

Birthday of person 6

Date

Grade of person 6, if under the age of 18

If applying during the summer, this is the grade the student will be going in this coming school year

Gender of person 6

Current Religion of person 6

Sacraments that person 6 does NOT HAVE and is preparing for:

Preferred class language for person 6

Preferred Mass language for person 6

Full legal Name of adult, child or teen 7

Person 7's relationship in the family

Birthday of person 7

Date

Grade of person 7, if under the age of 18

If applying during the summer, this is the grade the student will be going in this coming school year

Gender of person 7

Current Religion of person 7

Sacraments that person 7 does NOT HAVE and is preparing for:

Preferred class language for person 7

Preferred Mass language for person 7

Sacramental Marriage Information

Adults who are living with someone in a partnership relationship who are not married by a priest or deacon in the Catholic Church can be prepared for the Sacrament of Holy Matrimony. Both adults do not need to be Catholic. We can provide more information on Marriage preparation and Annulments, if needed. We can also coordinate this preparation concurrently with the OCIA preparation since it has a primary position in the order of Sacrament reception for adults who are already living together.

I would like more information on Marriage PreparationI would like more information on Nullity Cases (Annulments)I am currently in Marriage PreparationI was married in the Catholic Church by a Priest or DeaconI am not married in the Catholic Church

Fill in this section ONLY FOR CHILDREN/TEENS UNDER 18

2025 PARENT /GUARDIAN CONSENT

To be filled out by the parent or legal guardian of children under 18 years of age.

Mandatory Emergency Contact

In the event of an emergency, I hereby give permission to the staff of Sacred Heart of Jesus Catholic Community to seek emergency medical transport or treatment for my child named below. I will be responsible for costs incurred. I wish to be advised before further care is given by the hospital or doctor.

If parent cannot be reached, then the emergency contact person will be contacted.

Name of emergency contact if the parents can not be reached

Relationship to child

Contact's Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Medical Consent

Family Doctor Name

Phone Number of Family Doctor

Please enter a valid phone number.Format: (000) 000-0000.

Insurance Name

Group Number

Insurance Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

YesNo

Signature of Parent/Guardian

Video / Photograph Acknowledgement

As parent /guardian, I understand that promotional pictures and videos (individual and group) may be taken during OCIA sessions or activities. I acknowledge the possibility that my child’s pictures may be used for church promotional materials such as newsletters, web pages, calendars, Power Point presentations, or videos to promote or highlight these classes or activities. My child’s name will not be released without further consent.

Signature

Consent & Liability Waiver

I am the parent or legal guardian of the child or children named above. I grant permission for my child(ren) listed above to participate in activities related to OCIA and related activities to be held from January 1, 2025 to December 31, 2025 at Sacred Heart of Jesus Catholic Community in Manvel, TX. In the event of any accident or injury, I agree on behalf of myself, my child’s other parent if known or living...

Name of the other parent

... the children named herein, or our heirs, successors, and assigns, to hold harmless and defend the Archdiocese of Galveston-Houston, Sacred Heart of Jesus Catholic Community (its pastor or any employee or volunteer), unless the parties involved were careless and negligent.

In signing this form, I certify that all information contained herein is true and accurate to the best of my knowledge.

Parent's Name

Primary Contact Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Alternate Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Evening Phone Number (if different from above)

Please enter a valid phone number.Format: (000) 000-0000.

Signature of Parent/Guardian