OCIC Child Registration

Disclaimer

Please do not use this form to register anyone over 18. Please go back one page and use the adult registration form.

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What sacraments are you seeking? (check all that apply)

Baptism

First Communion

Confirmation

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Full Name:

Date of Birth:

City & State of Birth:

School:

Grade (if applicable):

Best Family Contact Email:

Best Family Contact Cell Number:

Home Address:

City:

State:

Zip Code:

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Explanation

Please enter your Baptismal information.

If you are not yet Baptized, please enter N/A in text fields and 1/1/2000 for the date.

Date of Baptism:

Church of Baptism:

City of Baptism:

State:

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Mother of Participant:

Mother's Maiden Name:

Mother's Cell Phone:

Mother's Email:

Father of Participant:

Father's Email:

Father's Cell Phone:

Additional Information: