In High School (10 th to 12 th Grades) Registration Form for RCIA H.S. Candidates

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Celia Acosta Fidalgo
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1 Catechism for Young & Adults / R.C.I.A The rite of Christian initiation for adults (R.C.I.A.) is a religious education program for individuals 16 years of age or older that have not yet received any of the initiation sacraments: Baptism, Confirmation and/or Eucharist. It is also for adults from other faiths that are looking to become members of the Catholic community. Those who have been baptized Catholic, but have not received formal Catholic instruction are also welcome to be part of this program. Catecismo para Jovenes y Adultos / R.I.C.A El Rito de Iniciación Cristiana de Adultos (R.I.C.A.) es un programa de educación religiosa para jóvenes mayores de 16 años o adultos que no hayan recibido los sacramentos de iniciación: Bautismo, Comunión y/o Confirmación, o para adultos de otras tradiciones religiosas que desean investigar las posibilidades de convertirse en miembros de la comunidad católica. Los católicos bautizados que no han tenido un entrenamiento o preparación en la Iglesia también son bienvenidos a este programa. El R.I.C.A. forma adultos preparados en la sabiduría y tradición de la iglesia, ya que por medio de la oración y el estudio profundo de nuestra fe católica, desarrollan un entendimiento y amor esenciales para su formación espiritual. Important Information Coordinators: Mrs. Nini Fernadez, Mr. Charles Villar, Mrs. Marie Barnes, Mr. Oswaldo Yepes Mrs. Norma Reinefeld, Mrs. Norma Medina & Mr. Michaell Martinez nnf0229@bellsouth.net Phone: Office: ext. 204 / Emergency: Period of Formation: Usually is only one school year of classes, starting September and ending May Absences: The maximum numbers of absences is 5 in a year period. Class hours: Mondays at Our Lady of Guadalupe parochial offices From 7.00 PM PM If you are not able to attend this schedule, please let us know to see how can we help you. Cost: $ (includes the books, material used during the formation year and gowns for the confirmation) Documents to Submit: A) Personal Information: See attached form. B) Copy of your: 1- Birth Certificate 2- Baptism Certificate (if you are baptized) or Affidavit of Baptism (if you are not able to provide a copy of your Baptism Certificate) or Baptism Application Form (if you are not baptized) 3- First Communion Certificate or Affidavit of First Communion (if you are not able to provide a copy of your First Communion Certificate) C- Your Donation of $ P a g e # 1 R C I A R e g i s t r a t i o n F o r m f o r H i g h S c h o o l S t u d e n t s

2 Parish # Sacraments I will receive Baptism Communion Confirmation Personal Information Today s Date / / Information is held in confidence and is not shared without your permission Language preference for classes: English Spanish Name: First Middle Last Date of Birth: Male Female Address: Apt. City: State: Zip: Place of Birth (City, State, Country if not USA) School grade he/she will be attending in Parents Information(Please, check the best phone # and for us to communicate with you) Father s Name Phone # Mother s Name Phone # Father s Mother s Religious History Has the candidate ever been baptized? No Yes. If yes, at what age: In what denomination? Catholic? Baptist? Presbyterian? Other Church? Place of Baptism (name of church/ denomination): Date: / / Address (if known): City and State; Country if not USA: If baptized as a Catholic, check those sacraments you have already received: Penance (Confession) Eucharist (First Communion) Date: / / P a g e # 2 R C I A R e g i s t r a t i o n F o r m f o r H i g h S c h o o l S t u d e n t s

3 Collaboration Needed to run the RCIA Program We need your collaboration to be able to run the RCIA Program. With your collaboration we provide you with the Confirmation Gown, Retreat Expenses, and the Class Book among other catechetical materials. Cost to run the RCIA: $ Check Option For your convenience this year you can write 1 check x $ 150 or 3 checks (postdated) x $ 50 each. 1st Check: August 15, nd Check: September 15, rd Check: October 15th, Credit Card Option $ if you pay with Credit Card Please follow these instructions Visit Look for CCD Icon and submit your contribution. Once you receive the Confirmation Receipt please print it and attach it to this application. Thank you for your generosity!!! Por favor visite busque el Icono CCD y haga su colaboración. Una vez que reciba el con el Recibo de Confirmación por favor imprímalo y adjúntelo a este formulario. Gracias por su generosidad!!! P a g e # 3 R C I A R e g i s t r a t i o n F o r m f o r H i g h S c h o o l S t u d e n t s

4 Parental Authorization Form Read, Complete and Sign-Lea, Complete y Firme * We the parents of wish that our child receives religious education in the Roman Catholic Church and that he/she be given preparation to receive the Sacraments marked below deseamos que nuestro hijo/a reciba instrucción religiosa en la Iglesia Católica Romana, y se prepare para recibir los sacramentos abajo marcados English: We hereby release our Lady of Guadalupe Religious Education Program, Our Lady of Guadalupe Parish, the Archdiocese of Miami, all its employees and volunteers from all claims and judgments pertaining to our child receiving Roman Catholic Instruction and/or receiving the Sacraments of Baptism, Reconciliation, Communion or Confirmation. Spanish: Por este medio exoneramos al Programa de Educación Religiosa de Nuestra Señora de Guadalupe, a la Parroquia de Nuestra Señora de Guadalupe, a la Arquidiócesis de Miami, a todos sus empleados y voluntarios de cualquier reclamación y/o demanda en relación con que nuestro hijo/a reciba instrucción religiosa y reciba los Sacramentos del Bautismo, Reconciliación, Comunión y Confirmación. Mother Signature Father Signature Date P a g e # 4 R C I A R e g i s t r a t i o n F o r m f o r H i g h S c h o o l S t u d e n t s

5 AFFIDAVIT OF BAPTISM - AFIDAVIT DE BAUTISMO Si ud. No tiene el Certificado de Bautismo, por favor el papa o la mama del nino debe completar este Afidavit If you do not have a copy of the Baptism Certificate, one of the child's parents must complete this affidavit EN ESPANOL Este AFIDAVIT es para certificar que (nombre del nino) hijo/a de (padre) y (madre), quien nació el en la ciudad de, fue bautizado en la parroquia por un sacerdote católico el día. Los nombre de los padrinos son (padrinos) y (madrina) quienes estuvieron presente en dicha ceremonia. Yo el/la abajo firmante, solemnemente juro que lo aquí dicho es verdad, pues soy la (MAMA) / (PAPA) de y estuve presente en dicha ceremonia bautismal. IN ENGLISH This AFFIDAVIT is to certify that (name of baptized person) Child of and Born in (Place of birthday) City State On the (DoB) / /, was baptized on (Day of Baptism) / / at (name of the Church) Catholic Church by (name of Minister) Rev, the sponsors being and I the undersigned, solemnly swear that I know this to be true Because I am His/Her (relationship) and I was present in person at the moment of the baptism. Signature of Mother of Father / Firma del Padre o Madre This testimony was taken by on in the Church of Este Testimonio ha sido tomado por on in the Church of Signature/Firma (Parish Seal / Sello Parroquial) P a g e # 5 R C I A R e g i s t r a t i o n F o r m f o r H i g h S c h o o l S t u d e n t s

6 TEXT MESSAGING SERVICE (TMS) Please Join the TMS of our Program, just send the following text: Por favor unase a al TMS de nuestro Program, solo envie el siguiente texto: WEBSITE Calendar P a g e # 6 R C I A R e g i s t r a t i o n F o r m f o r H i g h S c h o o l S t u d e n t s

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