RCIC Inquirer Information Form | Holy Family Catholic Community

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Child / Teen Information

First Name*Middle NameLast Name*Date of Birth*Place of Birth (City)Place of Birth (State / Province)Place of Birth (Country)Grade Level & Current School*

Parent / Guardian 1

First Name*Last Name*Relationship*Religious Affiliation

Parent / Guardian 2

First NameLast NameRelationshipReligious Affiliation

Primary Contact

Street Address*Address Line 2City*State / Province*ZIP / Postal Code*CountryPreferred Cell Phone*Preferred Email*

Other Children in the Household

Name / Relationship / AgeName / Relationship / AgeName / Relationship / AgeName / Relationship / Age

Living Situation

Child / teen lives with (check all that apply) Both Parents Mother only Father only Blended Family – Parent and Stepparent Other (specify below)Other (please specify)If your child/teen lives with a stepparent(s), please provide name(s)If your child lives with one parent/guardian, who has legal custody? (Name and Relationship)

Alternate Contact (if applicable)

Alternate Street AddressAlternate Address Line 2CityState / ProvinceZIP / Postal CodeCountryAlternate Cell PhoneAlternate Email

Baptismal Information

Has your child/teen been baptized?*Denomination of baptismApproximate age at baptismBaptismal name (if different)Place of Baptism (Name of Church / Denomination)Baptism address (if known)Baptism location (City / State / Country)If baptized Catholic, other sacraments received (check all that apply) Reconciliation (Confession) Eucharist (First Communion) Confirmation

Learning Preferences

Speaking / Listening (lecture, storytelling, podcasts, discussion…) — notesSeeing (pictures, symbols, video…) — notesReading (grade level / enjoyment) — notesWriting (skills / enjoyment) — notesHands-on learning (arts, crafts, projects) — notesPrefers working (check all that apply) Alone In small groups In large groups

Online Learning Access

Familiar / comfortable with online learningFamily has internet accessChild/teen has their own device for online learningAdditional comments about learning or technology

Christian Initiation

1. Please summarize the reason(s) your family wants to begin the process of Christian Initiation*2. Please describe the types of religious education in which your child/teen has participated.3. What contact has your child/teen had with the Catholic Church to date?4. What are some of the questions/concerns your child/teen or family has about the Catholic Church?

Baptismal certificate: please email a copy of the baptismal certificate or letter from the Church of Baptism todlivelyweyers@holyfamilyparish.org(or the Family Faith office) after submitting this form. File upload from the WordPress Gravity Form is not available on this page.