OCIA-C

Father

Father's Full Name Please enter valid data.
Father's Religion REQUIRED Please fill out this field. Please enter valid data.

Father's Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Father's Email REQUIRED Please fill out this field. Please enter an email address.

Mother

Mother's Full Name REQUIRED
Please Include Maiden Name
Please fill out this field. Please enter valid data.
Mother's Religion REQUIRED Please fill out this field. Please enter valid data.
Mother's Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
Mother's Email REQUIRED Please fill out this field. Please enter an email address.

Parents Marital Status REQUIRED Please fill out this field.

Address Line 1 REQUIRED Please fill out this field. Please enter valid data.

Address Line 2 Please enter valid data.

City REQUIRED Please fill out this field. Please enter valid data.

State REQUIRED Please fill out this field.

Zip REQUIRED Please fill out this field. Please enter a zip code.

Number of Children Registering REQUIRED Please fill out this field.
Child 1
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Middle Name Please enter valid data.
- Child lives with REQUIRED Please fill out this field.
- Date of birth REQUIRED Please fill out this field. Please enter a date.
- Born in (City)
  Please enter the city where your child was born.
  Please enter valid data.
- Grade in fall of 2024 REQUIRED Please fill out this field.
- Year 1 or Year 2 of RCIA-C program? REQUIRED Please fill out this field.
- Has your child been baptized? REQUIRED Yes No Please fill out this field.
- Select all other Sacraments that your child has received Reconciliation (Confession) Eucharist (Communion) Confirmation
- Date of Baptism Please enter a date.
- Name of parish where your child was baptized. Please enter valid data.
- City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
Child 2
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Middle Name Please enter valid data.
- Child lives with REQUIRED Please fill out this field.
- Date of birth REQUIRED Please fill out this field. Please enter a date.
- Born in (City)
  Please enter the city where your child was born.
  Please enter valid data.
- Grade in fall of 2024 REQUIRED Please fill out this field.
- Year 1 or Year 2 of RCIA-C program? REQUIRED Please fill out this field.
- Has your child been baptized? REQUIRED Yes No Please fill out this field.
- Select all other Sacraments that your child has received Reconciliation (Confession) Eucharist (Communion) Confirmation
- Date of Baptism Please enter a date.
- Name of parish where your child was baptized. Please enter valid data.
- City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
Child 3
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Middle Name Please enter valid data.
- Child lives with REQUIRED Please fill out this field.
- Date of birth REQUIRED Please fill out this field. Please enter a date.
- Born in (City)
  Please enter the city where your child was born.
  Please enter valid data.
- Grade in fall of 2024 REQUIRED Please fill out this field.
- Year 1 or Year 2 of RCIA-C program? REQUIRED Please fill out this field.
- Has your child been baptized? REQUIRED Yes No Please fill out this field.
- Select all other Sacraments that your child has received Reconciliation (Confession) Eucharist (Communion) Confirmation
- Date of Baptism Please enter a date.
- Name of parish where your child was baptized. Please enter valid data.
- City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
Child 4
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Middle Name Please enter valid data.
- Child lives with REQUIRED Please fill out this field.
- Date of birth REQUIRED Please fill out this field. Please enter a date.
- Born in (City)
  Please enter the city where your child was born.
  Please enter valid data.
- Grade in fall of 2024 REQUIRED Please fill out this field.
- Year 1 or Year 2 of RCIA-C program? REQUIRED Please fill out this field.
- Has your child been baptized? REQUIRED Yes No Please fill out this field.
- Select all other Sacraments that your child has received Reconciliation (Confession) Eucharist (Communion) Confirmation
- Date of Baptism Please enter a date.
- Name of parish where your child was baptized. Please enter valid data.
- City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.

ORIGINAL BAPTISM CERTIFICATE MUST BE PROVIDED.

Electronic Signature of Legal Guardian REQUIRED Please fill out this field. Please enter valid data.

If divorced, we will need to see and copy the original documents stating custodial rights.

Medical Consent

In the event of an emergency, I hereby give permission to the staff of St. Mary Catholic Church to seek emergency medical transport and/or treatment for my child(ren) named above. I will be responsible for all costs incurred. I wish to be advised before further care is given by the hospital or doctor.
I Agree Please select this field.
Electronic Signature (Parent/Guardian) REQUIRED Please fill out this field. Please enter valid data.
Name of Emergency Contact (other than parent) REQUIRED Please fill out this field. Please enter valid data.
Emergency Contact's Relation to Child REQUIRED Please fill out this field. Please enter valid data.
Emergency Contact Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
Name of Family Doctor Please enter valid data.
Family Doctor Phone Number Maximum 20 characters Please enter a phone number.

Insurance Information

Name of Insurance
N/A if you do not carry insurance at this time
Please enter valid data.
Insurance Group Number Please enter valid data.
Insurance Company Phone Number Maximum 20 characters Please enter a phone number.

Please list any accommodations we need to be aware of (medical, cognitive, developmental, emotional, or physical) that will impact the children's ability to learn or participate in activities?

Please Include the child's name when sharing information.

Video/Photography Consent

As a parent/guardian, I understand that promotional pictures and videos (individual and group) may be taken during the classes and activities. I give permission for my child(ren)'s pictures (named above) to be used for church promotional materials such as newsletters, web pages, social media, calendars, Power Point presentations, or videos to promote or highlight activities of the children in their Faith Formation classes.
I Agree Please select this field.
Electronic Signature (Parent/Guardian) REQUIRED Please fill out this field. Please enter valid data.

Consent and Liability

In the event of any accident or injury, I agree on behalf of myself, my child(ren) named above or our heirs, successors, and assigns, to hold harmless and defend the Archdiocese of Galveston/Houston, its pastor or any representative of OCIA-C, unless the parties involved were careless and negligent. Effective for all OCIA-C activities at St. Mary of the Expectation Parish from September 2024 to September 2025.
I Agree Please select this field.
By registering your child(ren) for faith formation you give permission to the parish to provide its catechists with access to your child(ren) for the purpose of catechesis. Depending on the circumstances and the program, this access may be face-to-face in a parish facility, or may be on a virtual platform approved and overseen by the parish, or both. All catechists have been cleared by the Archdiocesan Office of Child and Youth Protection to work with minors and have completed all required safe environment training.
Electronic Signature (Parent/Guardian) REQUIRED Please fill out this field. Please enter valid data.

Email Receipt REQUIRED

Please select the email that you would like to receive confirmation of your child(s) registration.

Please fill out this field. Please enter an email address.

OCIA-C

OCIA-C

OCIA-C Registration Form

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