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OCIC Inquirer Form

- OCIC Child or Teen Inquirer Form
  
  This form is not accepting responses at this time.
  
  NOTE: If the child or teen is currently enrolled in a religious education program at your parish, much of the information below may already be on file. In that case, please attend to the sections with an asterisk * which are important for sacramental and/or canonical purposes.
  
  A. GENERAL
  
  Child/Teen's Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Child/Teen's First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Child/Teen's Middle Name REQUIRED Please fill out this field. Please enter valid data.
  
  Child/Teen's Maiden Name (if applicable) Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Place of Birth (Town, State, and Country) REQUIRED Please fill out this field. Please enter valid data.
  
  Age REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field. Please enter valid data.
  
  School REQUIRED Please fill out this field. Please enter valid data.
  
  Home Phone REQUIRED Please fill out this field. Please enter valid data.
  
  Mom/Guardian Cell REQUIRED Please fill out this field. Please enter valid data.
  
  Dad/Guardian Cell REQUIRED Please fill out this field. Please enter valid data.
  
  Parent/Guardian Email REQUIRED Please fill out this field. Please enter valid data.
  
  B. PARENT/GUARDIAN INFORMATION
  
  *Birth Father Name (Last, First, Middle) REQUIRED Please fill out this field. Please enter valid data.
  
  Religious Affiliation REQUIRED Please fill out this field. Please enter valid data.
  
  *Birth Mother Name (Last, First, Middle) REQUIRED Please fill out this field. Please enter valid data.
  
  Religious Affiliation REQUIRED Please fill out this field. Please enter valid data.
  
  *Guardian Name (Last, First, Middle) REQUIRED Please fill out this field. Please enter valid data.
  
  Religious Affiliation REQUIRED Please fill out this field. Please enter valid data.
  
  With whom does the child live? (Parents, mother only, father only, guardian, etc. Please explain custody arrangement if any.) REQUIRED Please fill out this field.
  
  C. FAMILY INFORMATION
  
  List Sibling Information (Include Name, Relationship, Age) REQUIRED Please fill out this field.
  
  D. SACRAMENTAL HISTORY
  
  *Baptism
  
  Has the child/teen been Baptized? REQUIRED Please fill out this field.
  
  If answered "Yes", please provide a BAPTISM RECORD and the following information:
  
  Denomination in which he/she was Baptized Please enter valid data.
  
  Date of Baptism Please enter valid data.
  
  Age at Baptism Please enter valid data.
  
  Baptism Name (if different from current name) Please enter valid data.
  
  Place of Baptism (church name) Please enter valid data.
  
  Address of Place of Baptism Please enter valid data.
  
  If non-Catholic Baptism, did the child/teen make a formal profession of faith as a Catholic? If so, when/where? Please enter valid data.
  
  *If Baptized as a Catholic; check those sacraments he/she has already received:
  
  He/She has already received: First Penance First Eucharist Confirmation
  
  D. RELIGIOUS INSTRUCTION
  
  Please describe any previous religious instruction the child/teen has received (formal and/or informal)
  
  F. PHYSICAL AND LEARNING NEEDS
  
  Strengths, talents, interest and attributes Please enter valid data.
  
  Allergies Please enter valid data.
  
  Other physical disabiliites or limitations Please enter valid data.
  
  Learning disabilities/other cognitive needs Please enter valid data.
  
  Learning styles or preferences Please enter valid data.
  
  Submit
  
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OCIC Inquirer Form

A. GENERAL

B. PARENT/GUARDIAN INFORMATION

C. FAMILY INFORMATION

D. SACRAMENTAL HISTORY

D. RELIGIOUS INSTRUCTION

F. PHYSICAL AND LEARNING NEEDS