ADULTS (18 years and up) Registration Form for RCIA Candidate

Tamaño: px

Comenzar la demostración a partir de la página:

Download "ADULTS (18 years and up) Registration Form for RCIA Candidate"

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 A D U L T S

2 Parish # Sacraments I will receive Baptism Communion Confirmation Marriage Personal Information / /2017 Language preference for classes: English Spanish Name: First: Middle: Last: Maiden Name (if applicable): Date of Birth: Place of Birth (City, State, Country, if not USA): Your Father s Name: Your Mother s Name : I. Contact Information Mailing Address: Apt: City: State: Zip: Phone: (Daytime) (Evening/Weekend) Cell Phone: Occupation: II. Religious History 1. What, if any, is your present religious affiliation? 2. Have you ever been baptized? Yes No I am not sure. If you answered "Yes" to Question 2., please provide the following information: (a) In what denomination were you baptized? (b) Date or your approximate age when you were baptized: / / (c) Place of Baptism (Name of church/denomination): (d) Address, if known: (e) City and State, if known; Country, if not USA: 3. If you were baptized as a Catholic, check those sacraments you have already received: Penance (Confession/Reconciliation) 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 A D U L T S

3 III. Current Marital Status (Select all that apply) Si necesita asistencia completándola por favor pida hablar con Miguel Ruiz, Selena Bittar o Maria del Carmen Fernandez. Check the appropriate statement below and provide any information requested beneath the statement. 1. I am SINGLE and I have never been married. 2. I am ENGAGED to be married. (a) Your fiancé(e) s name: (b) Your fiancé(e) s current religious affiliation (if any): (c) For you: This is my first marriage. I have been married before. (d) For your fiancé(e): This is his/her first marriage. He/She has been married before. 3. I am currently MARRIED in the Catholic Church. (a) Your spouse s name: (b) Your spouse s current religious affiliation (if any) : (e) Date of Marriage in Church: / / (f) Place of Marriage in Church: 4. I am MARRIED BUT NOT in the Catholic Church. (a) Your spouse s name: (b) Your spouse s current religious affiliation (if any) : (c) For you: This is my first marriage. I have been married before. (d) For your spouse: This is his/her first marriage. He/She has been married before. (e) Date of Marriage: / / (f) Select an option (all that apply) 1- I was married in a non Catholic Church: Name of the Church 2- I was married by the Civil Law 5. I am married, but SEPARATED from my spouse. 6. I am DIVORCED and I have not remarried. 7. I am a WIDOW/WIDOWER 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 A D U L T S

4 IV. Family Information List the name(s) of any children or other dependents. (e.g. Daughter Jane; Stepson John.) 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 Sacramental 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 # 4 R C I A R e g i s t r a t i o n F o r m f o r A D U L 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 A D U L 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 A D U L T S

Documentos relacionados

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

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