St. joseph the worker church rite of Christian initiation for children (rcic) form 2009-2010

FAMILY INFORMATION

Registered in this Parish? Yes / No (circle one)

 

Child’s Name: ___________________________________________________

Father’s Name: __________________________________________________

Mother’s Maiden Name: ___________________________________________

Date of Birth: ____________________________________________________

Date of Baptism: _________________________________________________

Place of Baptism: ________________________________________________

 

 

 

 

For Page 2 of Form Click Here

Please fill form out completely so that the Sacrament can be recorded.

 

If your child was NOT baptized in this Parish you must attach a copy of the Baptismal Certificate to the registration form.

 

Registration Fee $45.00

Out of Parish Fee is an additional $25.00 per child

(Please contact the Director of Religious Education if financial assistance is needed)

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Office Use Only

Received by ______ Amt Paid ______ Date Paid ______ Ck# ______ Cash ______

 

Baptism Certificate Copy Attached Y / N