RCIA Inquiry - For Children - Saint Mary of the Sacred Heart Parish

Father's Name (First and Last) REQUIRED Please fill out this field. Please enter valid data.

Mother's Name (First and Last) REQUIRED Please fill out this field. Please enter valid data.

Mother's Maiden Name Please enter valid data.

Contact Phone # REQUIRED Please fill out this field. Please enter valid data.

Home Address REQUIRED Please fill out this field. Please enter valid data.

Contact Email Address: REQUIRED Please fill out this field. Please enter valid data.

Please complete the information below for each child

Child's Name: REQUIRED Please fill out this field. Please enter valid data.
Date of Birth REQUIRED Please fill out this field. Please enter a date.
Place of Birth (City, State or Country if not in the USA) REQUIRED Please fill out this field. Please enter valid data.
Grade in School REQUIRED Please fill out this field. Please enter valid data.
Special Needs? Allergies? Please enter valid data.
Has the Child been Baptized? REQUIRED Yes No Please fill out this field.
If Applicable - Name of Parish where the Child was Baptized: Please enter valid data.

# of Additional Children you need to register: REQUIRED Please fill out this field.
Additional Child 1
- Child's Name: REQUIRED Please fill out this field. Please enter valid data.
- Date of Birth REQUIRED Please fill out this field. Please enter valid data.
- Place of Birth (City, State or Country if not in the USA) Please enter valid data.
- Grade in School REQUIRED Please fill out this field. Please enter valid data.
- Special Needs? Allergies? Please enter valid data.
- Has the Child been Baptized? Yes No
- If Applicable - Name of Parish where the Child was Baptized: Please enter valid data.
- Any Questions? Comments?
Additional Child 2
- Child's Name: REQUIRED Please fill out this field. Please enter valid data.
- Date of Birth REQUIRED Please fill out this field. Please enter valid data.
- Place of Birth (City, State or Country if not in the USA) Please enter valid data.
- Grade in School REQUIRED Please fill out this field. Please enter valid data.
- Special Needs? Allergies? Please enter valid data.
- Has the Child been Baptized? Yes No
- If Applicable - Name of Parish where the Child was Baptized: Please enter valid data.
- Any Questions? Comments?
Additional Child 3
- Child's Name: REQUIRED Please fill out this field. Please enter valid data.
- Date of Birth REQUIRED Please fill out this field. Please enter valid data.
- Place of Birth (City, State or Country if not in the USA) Please enter valid data.
- Grade in School REQUIRED Please fill out this field. Please enter valid data.
- Special Needs? Allergies? Please enter valid data.
- Has the Child been Baptized? Yes No
- If Applicable - Name of Parish where the Child was Baptized: Please enter valid data.
- Any Questions? Comments?
Additional Child 4
- Child's Name: REQUIRED Please fill out this field. Please enter valid data.
- Date of Birth REQUIRED Please fill out this field. Please enter valid data.
- Place of Birth (City, State or Country if not in the USA) Please enter valid data.
- Grade in School REQUIRED Please fill out this field. Please enter valid data.
- Special Needs? Allergies? Please enter valid data.
- Has the Child been Baptized? Yes No
- If Applicable - Name of Parish where the Child was Baptized: Please enter valid data.
- Any Questions? Comments?
Additional Child 5
- Child's Name: REQUIRED Please fill out this field. Please enter valid data.
- Date of Birth REQUIRED Please fill out this field. Please enter valid data.
- Place of Birth (City, State or Country if not in the USA) Please enter valid data.
- Grade in School REQUIRED Please fill out this field. Please enter valid data.
- Special Needs? Allergies? Please enter valid data.
- Has the Child been Baptized? Yes No
- If Applicable - Name of Parish where the Child was Baptized: Please enter valid data.
- Any Questions? Comments?
Additional Child 6
- Child's Name: REQUIRED Please fill out this field. Please enter valid data.
- Date of Birth REQUIRED Please fill out this field. Please enter valid data.
- Place of Birth (City, State or Country if not in the USA) Please enter valid data.
- Grade in School REQUIRED Please fill out this field. Please enter valid data.
- Special Needs? Allergies? Please enter valid data.
- Has the Child been Baptized? Yes No
- If Applicable - Name of Parish where the Child was Baptized: Please enter valid data.
- Any Questions? Comments?

You may also call the office at (781) 598-4907 or contact Michele Morin at [email protected] or Chris Carmody at [email protected] for any additional questions.

Saint Mary of the Sacred
Heart Parish

Lynn, MA

RCIA Inquiry - For Children

OCIA Inquiry - For children (under 18)