OCIA Adapted for Children

Child's Name(Required)

First Last

Date of Birth(Required)

Place of Birth(Required)

Grade Level(Required)

School

Parent/Guardian Name(Required)

First Last

Relationship(Required)

Religious Affiliation

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone(Required)

Email(Required)

Are you attending OCIA for Adults?(Required)

Yes

Which Sacraments has the child received?(Required)

Baptism

Penance

First Holy Communion

None

If Baptized, what denomination?

Do you have a Baptismal Certificate?

Yes

Church of Baptism

Address of church of Baptism

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

In what way does your child enjoy learning?(Required)