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Register Online for RCIA for Teens

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- Family Information
  
  Family Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Best Email REQUIRED Please fill out this field. Please enter an email address.
  
  Church Member Information REQUIRED Please fill out this field.
  
  If member at another church, please provide the church's name: Please enter valid data.
  
  Father's Name REQUIRED Please fill out this field. Please enter valid data.
  
  Father's Email REQUIRED Please fill out this field. Please enter an email address.
  
  Father's Mobile Number REQUIRED Please fill out this field. Please enter a phone number.
  
  Father's Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Mother's Name REQUIRED Please fill out this field. Please enter valid data.
  
  Mother's Maiden Name REQUIRED Please fill out this field. Please enter valid data.
  
  Mother's Email REQUIRED Please fill out this field. Please enter an email address.
  
  Mother's Mobile Number REQUIRED Please fill out this field. Please enter a phone number.
  
  Mother's Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Home Phone Number Please enter a phone number.
  
  Home Street Address REQUIRED Please fill out this field. Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  Parent's Marital Status REQUIRED Please fill out this field.
  
  Child lives with: REQUIRED Please fill out this field.
  
  If child lives with a guardian, please provide guardian's name: Please enter valid data.
- Number of teens registering in 6th-12th grade REQUIRED Please fill out this field.
  
  Teen 1
  
  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 REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Please fill out this field.
  
  Age REQUIRED Please fill out this field. Please enter valid data.
  
  School Attending REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  Choose one session from below: REQUIRED Please fill out this field.
  
  If this is your 2nd or more year, what were you involved in last year? Please enter valid data.
  
  Which Sacraments has this teen received? (check all that apply) REQUIRED None Baptism First Holy Communion Confirmation Please fill out this field.
  
  If baptized, name of Church/Location Please enter valid data.
  
  If received First Holy Communion, name of Church/Location Please enter valid data.
  
  If received Confirmation, name of Church/Location Please enter valid data.
  
  Please provide a copy or email a photo of your teen's completed sacraments to Deacon Frank or Kathy DeSanto.
  
  Medical Information:
  
  Allergies to medication or food: REQUIRED Please fill out this field. Please enter valid data.
  
  Current medications taken daily or regularly: REQUIRED Please fill out this field. Please enter valid data.
  
  Chronic medical problems or physical restrictions: REQUIRED Please fill out this field. Please enter valid data.
  
  If my teen becomes ill, he/she may be given the following by church representatives, volunteers or employees of OLOR: (choose any that apply) REQUIRED Tylenol Ibuprofen Throat lozenges Benadryl None of the above Please fill out this field.
  
  All the above information is true and given to Our Lady of the Rosary with parental permission.
  I Agree Please select this field.
  
  Communications/Publicity Release
  During the year your teen is a member of Our Lady of the Rosary RCIA. We try to keep them and you as a parent up to date with dates for meetings and/or changes in our calendar of events. With the implementation of the Safe Environment policies within the Diocese of St. Petersburg, we are now seeking your permission for these items
  
  I give my son/daughter permission to communicate with RCIA leaders through the use of: REQUIRED Please fill out this field.
  
  Teen's Email (by completing this field I agree to this type of communication with my teen) Please enter an email address.
  
  Teen's Mobile Number (by completing this field I agree to this type of communication with my teen) Please enter a phone number.
  
  From time to time, publicity releases for newspapers, television, website, and other media may be prepared about events occurring at the parish. These may or may not be accompanied by photos or videotape of students. The releases may be prepared by Our Lady of the Rosary Parish or media representatives.
  
  Do you give permission for your teen to be included in such publicity releases/photos/videos? REQUIRED Please fill out this field.
  
  Code of Conduct Acknowledgement for Teens
  
  I acknowledge that I have received, read, understand and pledge to comply with the “ Code of Conduct for Children and Youth” within the Diocese of St. Petersburg, FL
  (to read and download your copy, please click on Code of Conduct above)
  I Agree Please select this field.
  
  Date REQUIRED Please fill out this field. Please enter a date.
  
  Teen 2
  
  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 REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Please fill out this field.
  
  Age REQUIRED Please fill out this field. Please enter valid data.
  
  School Attending REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  Choose one session from below: REQUIRED Please fill out this field.
  
  If this is your 2nd or more year, what were you involved in last year? Please enter valid data.
  
  Which Sacraments has this teen received? (check all that apply) REQUIRED None Baptism First Holy Communion Confirmation Please fill out this field.
  
  If baptized, name of Church/Location Please enter valid data.
  
  If received First Holy Communion, name of Church/Location Please enter valid data.
  
  If received Confirmation, name of Church/Location Please enter valid data.
  
  Please provide a copy or email a photo of your teen's completed sacraments to Deacon Frank or Kathy DeSanto.
  
  Medical Information:
  
  Allergies to medication or food: REQUIRED Please fill out this field. Please enter valid data.
  
  Current medications taken daily or regularly: REQUIRED Please fill out this field. Please enter valid data.
  
  Chronic medical problems or physical restrictions: REQUIRED Please fill out this field. Please enter valid data.
  
  If my teen becomes ill, he/she may be given the following by church representatives, volunteers or employees of OLOR: (choose any that apply) REQUIRED Tylenol Ibuprofen Throat lozenges Benadryl None of the above Please fill out this field.
  
  All the above information is true and given to Our Lady of the Rosary with parental permission.
  I Agree Please select this field.
  
  Communications/Publicity Release
  During the year your teen is a member of Our Lady of the Rosary RCIA. We try to keep them and you as a parent up to date with dates for meetings and/or changes in our calendar of events. With the implementation of the Safe Environment policies within the Diocese of St. Petersburg, we are now seeking your permission for these items
  
  I give my son/daughter permission to communicate with RCIA leaders through the use of: REQUIRED Please fill out this field.
  
  Teen's Email (by completing this field I agree to this type of communication with my teen) Please enter an email address.
  
  Teen's Mobile Number (by completing this field I agree to this type of communication with my teen) Please enter a phone number.
  
  From time to time, publicity releases for newspapers, television, website, and other media may be prepared about events occurring at the parish. These may or may not be accompanied by photos or videotape of students. The releases may be prepared by Our Lady of the Rosary Parish or media representatives.
  
  Do you give permission for your teen to be included in such publicity releases/photos/videos? REQUIRED Please fill out this field.
  
  Code of Conduct Acknowledgement for Teens
  
  I acknowledge that I have received, read, understand and pledge to comply with the “ Code of Conduct for Children and Youth” within the Diocese of St. Petersburg, FL
  (to read and download your copy, please click on Code of Conduct above)
  I Agree Please select this field.
  
  Date REQUIRED Please fill out this field. Please enter a date.
  
  Teen 3
  
  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 REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Please fill out this field.
  
  Age REQUIRED Please fill out this field. Please enter valid data.
  
  School Attending REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  Choose one session from below: REQUIRED Please fill out this field.
  
  If this is your 2nd or more year, what were you involved in last year? Please enter valid data.
  
  Which Sacraments has this teen received? (check all that apply) REQUIRED None Baptism First Holy Communion Confirmation Please fill out this field.
  
  If baptized, name of Church/Location Please enter valid data.
  
  If received First Holy Communion, name of Church/Location Please enter valid data.
  
  If received Confirmation, name of Church/Location Please enter valid data.
  
  Please provide a copy or email a photo of your teen's completed sacraments to Deacon Frank or Kathy DeSanto.
  
  Medical Information:
  
  Allergies to medication or food: REQUIRED Please fill out this field. Please enter valid data.
  
  Current medications taken daily or regularly: REQUIRED Please fill out this field. Please enter valid data.
  
  Chronic medical problems or physical restrictions: REQUIRED Please fill out this field. Please enter valid data.
  
  If my teen becomes ill, he/she may be given the following by church representatives, volunteers or employees of OLOR: (choose any that apply) REQUIRED Tylenol Ibuprofen Throat lozenges Benadryl None of the above Please fill out this field.
  
  All the above information is true and given to Our Lady of the Rosary with parental permission.
  I Agree Please select this field.
  
  Communications/Publicity Release
  During the year your teen is a member of Our Lady of the Rosary RCIA. We try to keep them and you as a parent up to date with dates for meetings and/or changes in our calendar of events. With the implementation of the Safe Environment policies within the Diocese of St. Petersburg, we are now seeking your permission for these items
  
  I give my son/daughter permission to communicate with RCIA leaders through the use of: REQUIRED Please fill out this field.
  
  Teen's Email (by completing this field I agree to this type of communication with my teen) Please enter an email address.
  
  Teen's Mobile Number (by completing this field I agree to this type of communication with my teen) Please enter a phone number.
  
  From time to time, publicity releases for newspapers, television, website, and other media may be prepared about events occurring at the parish. These may or may not be accompanied by photos or videotape of students. The releases may be prepared by Our Lady of the Rosary Parish or media representatives.
  
  Do you give permission for your teen to be included in such publicity releases/photos/videos? REQUIRED Please fill out this field.
  
  Code of Conduct Acknowledgement for Teens
  
  I acknowledge that I have received, read, understand and pledge to comply with the “ Code of Conduct for Children and Youth” within the Diocese of St. Petersburg, FL
  (to read and download your copy, please click on Code of Conduct above)
  I Agree Please select this field.
  
  Date REQUIRED Please fill out this field. Please enter a date.
  
  Teen 4
  
  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 REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Please fill out this field.
  
  Age REQUIRED Please fill out this field. Please enter valid data.
  
  School Attending REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  Choose one session from below: REQUIRED Please fill out this field.
  
  If this is your 2nd or more year, what were you involved in last year? Please enter valid data.
  
  Which Sacraments has this teen received? (check all that apply) REQUIRED None Baptism First Holy Communion Confirmation Please fill out this field.
  
  If baptized, name of Church/Location Please enter valid data.
  
  If received First Holy Communion, name of Church/Location Please enter valid data.
  
  If received Confirmation, name of Church/Location Please enter valid data.
  
  Please provide a copy or email a photo of your teen's completed sacraments to Deacon Frank or Kathy DeSanto.
  
  Medical Information:
  
  Allergies to medication or food: REQUIRED Please fill out this field. Please enter valid data.
  
  Current medications taken daily or regularly: REQUIRED Please fill out this field. Please enter valid data.
  
  Chronic medical problems or physical restrictions: REQUIRED Please fill out this field. Please enter valid data.
  
  If my teen becomes ill, he/she may be given the following by church representatives, volunteers or employees of OLOR: (choose any that apply) REQUIRED Tylenol Ibuprofen Throat lozenges Benadryl None of the above Please fill out this field.
  
  All the above information is true and given to Our Lady of the Rosary with parental permission.
  I Agree Please select this field.
  
  Communications/Publicity Release
  During the year your teen is a member of Our Lady of the Rosary RCIA. We try to keep them and you as a parent up to date with dates for meetings and/or changes in our calendar of events. With the implementation of the Safe Environment policies within the Diocese of St. Petersburg, we are now seeking your permission for these items
  
  I give my son/daughter permission to communicate with RCIA leaders through the use of: REQUIRED Please fill out this field.
  
  Teen's Email (by completing this field I agree to this type of communication with my teen) Please enter an email address.
  
  Teen's Mobile Number (by completing this field I agree to this type of communication with my teen) Please enter a phone number.
  
  From time to time, publicity releases for newspapers, television, website, and other media may be prepared about events occurring at the parish. These may or may not be accompanied by photos or videotape of students. The releases may be prepared by Our Lady of the Rosary Parish or media representatives.
  
  Do you give permission for your teen to be included in such publicity releases/photos/videos? REQUIRED Please fill out this field.
  
  Code of Conduct Acknowledgement for Teens
  
  I acknowledge that I have received, read, understand and pledge to comply with the “ Code of Conduct for Children and Youth” within the Diocese of St. Petersburg, FL
  (to read and download your copy, please click on Code of Conduct above)
  I Agree Please select this field.
  
  Date REQUIRED Please fill out this field. Please enter a date.
  
  Teen 5
  
  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 REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Please fill out this field.
  
  Age REQUIRED Please fill out this field. Please enter valid data.
  
  School Attending REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  Choose one session from below: REQUIRED Please fill out this field.
  
  If this is your 2nd or more year, what were you involved in last year? Please enter valid data.
  
  Which Sacraments has this teen received? (check all that apply) REQUIRED None Baptism First Holy Communion Confirmation Please fill out this field.
  
  If baptized, name of Church/Location Please enter valid data.
  
  If received First Holy Communion, name of Church/Location Please enter valid data.
  
  If received Confirmation, name of Church/Location Please enter valid data.
  
  Please provide a copy or email a photo of your teen's completed sacraments to Deacon Frank or Kathy DeSanto.
  
  Medical Information:
  
  Allergies to medication or food: REQUIRED Please fill out this field. Please enter valid data.
  
  Current medications taken daily or regularly: REQUIRED Please fill out this field. Please enter valid data.
  
  Chronic medical problems or physical restrictions: REQUIRED Please fill out this field. Please enter valid data.
  
  If my teen becomes ill, he/she may be given the following by church representatives, volunteers or employees of OLOR: (choose any that apply) REQUIRED Tylenol Ibuprofen Throat lozenges Benadryl None of the above Please fill out this field.
  
  All the above information is true and given to Our Lady of the Rosary with parental permission.
  I Agree Please select this field.
  
  Communications/Publicity Release
  During the year your teen is a member of Our Lady of the Rosary RCIA. We try to keep them and you as a parent up to date with dates for meetings and/or changes in our calendar of events. With the implementation of the Safe Environment policies within the Diocese of St. Petersburg, we are now seeking your permission for these items
  
  I give my son/daughter permission to communicate with RCIA leaders through the use of: REQUIRED Please fill out this field.
  
  Teen's Email (by completing this field I agree to this type of communication with my teen) Please enter an email address.
  
  Teen's Mobile Number (by completing this field I agree to this type of communication with my teen) Please enter a phone number.
  
  From time to time, publicity releases for newspapers, television, website, and other media may be prepared about events occurring at the parish. These may or may not be accompanied by photos or videotape of students. The releases may be prepared by Our Lady of the Rosary Parish or media representatives.
  
  Do you give permission for your teen to be included in such publicity releases/photos/videos? REQUIRED Please fill out this field.
  
  Code of Conduct Acknowledgement for Teens
  
  I acknowledge that I have received, read, understand and pledge to comply with the “ Code of Conduct for Children and Youth” within the Diocese of St. Petersburg, FL
  (to read and download your copy, please click on Code of Conduct above)
  I Agree Please select this field.
  
  Date REQUIRED Please fill out this field. Please enter a date.
  
  Teen 6
  
  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 REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Please fill out this field.
  
  Age REQUIRED Please fill out this field. Please enter valid data.
  
  School Attending REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  Choose one session from below: REQUIRED Please fill out this field.
  
  If this is your 2nd or more year, what were you involved in last year? Please enter valid data.
  
  Which Sacraments has this teen received? (check all that apply) REQUIRED None Baptism First Holy Communion Confirmation Please fill out this field.
  
  If baptized, name of Church/Location Please enter valid data.
  
  If received First Holy Communion, name of Church/Location Please enter valid data.
  
  If received Confirmation, name of Church/Location Please enter valid data.
  
  Please provide a copy or email a photo of your teen's completed sacraments to Deacon Frank or Kathy DeSanto.
  
  Medical Information:
  
  Allergies to medication or food: REQUIRED Please fill out this field. Please enter valid data.
  
  Current medications taken daily or regularly: REQUIRED Please fill out this field. Please enter valid data.
  
  Chronic medical problems or physical restrictions: REQUIRED Please fill out this field. Please enter valid data.
  
  If my teen becomes ill, he/she may be given the following by church representatives, volunteers or employees of OLOR: (choose any that apply) REQUIRED Tylenol Ibuprofen Throat lozenges Benadryl None of the above Please fill out this field.
  
  All the above information is true and given to Our Lady of the Rosary with parental permission.
  I Agree Please select this field.
  
  Communications/Publicity Release
  During the year your teen is a member of Our Lady of the Rosary RCIA. We try to keep them and you as a parent up to date with dates for meetings and/or changes in our calendar of events. With the implementation of the Safe Environment policies within the Diocese of St. Petersburg, we are now seeking your permission for these items
  
  I give my son/daughter permission to communicate with RCIA leaders through the use of: REQUIRED Please fill out this field.
  
  Teen's Email (by completing this field I agree to this type of communication with my teen) Please enter an email address.
  
  Teen's Mobile Number (by completing this field I agree to this type of communication with my teen) Please enter a phone number.
  
  From time to time, publicity releases for newspapers, television, website, and other media may be prepared about events occurring at the parish. These may or may not be accompanied by photos or videotape of students. The releases may be prepared by Our Lady of the Rosary Parish or media representatives.
  
  Do you give permission for your teen to be included in such publicity releases/photos/videos? REQUIRED Please fill out this field.
  
  Code of Conduct Acknowledgement for Teens
  
  I acknowledge that I have received, read, understand and pledge to comply with the “ Code of Conduct for Children and Youth” within the Diocese of St. Petersburg, FL
  (to read and download your copy, please click on Code of Conduct above)
  I Agree Please select this field.
  
  Date REQUIRED Please fill out this field. Please enter a date.
  
  Teen 7
  
  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 REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Please fill out this field.
  
  Age REQUIRED Please fill out this field. Please enter valid data.
  
  School Attending REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  Choose one session from below: REQUIRED Please fill out this field.
  
  If this is your 2nd or more year, what were you involved in last year? Please enter valid data.
  
  Which Sacraments has this teen received? (check all that apply) REQUIRED None Baptism First Holy Communion Confirmation Please fill out this field.
  
  If baptized, name of Church/Location Please enter valid data.
  
  If received First Holy Communion, name of Church/Location Please enter valid data.
  
  If received Confirmation, name of Church/Location Please enter valid data.
  
  Please provide a copy or email a photo of your teen's completed sacraments to Deacon Frank or Kathy DeSanto.
  
  Medical Information:
  
  Allergies to medication or food: REQUIRED Please fill out this field. Please enter valid data.
  
  Current medications taken daily or regularly: REQUIRED Please fill out this field. Please enter valid data.
  
  Chronic medical problems or physical restrictions: REQUIRED Please fill out this field. Please enter valid data.
  
  If my teen becomes ill, he/she may be given the following by church representatives, volunteers or employees of OLOR: (choose any that apply) REQUIRED Tylenol Ibuprofen Throat lozenges Benadryl None of the above Please fill out this field.
  
  All the above information is true and given to Our Lady of the Rosary with parental permission.
  I Agree Please select this field.
  
  Communications/Publicity Release
  During the year your teen is a member of Our Lady of the Rosary RCIA. We try to keep them and you as a parent up to date with dates for meetings and/or changes in our calendar of events. With the implementation of the Safe Environment policies within the Diocese of St. Petersburg, we are now seeking your permission for these items
  
  I give my son/daughter permission to communicate with RCIA leaders through the use of: REQUIRED Please fill out this field.
  
  Teen's Email (by completing this field I agree to this type of communication with my teen) Please enter an email address.
  
  Teen's Mobile Number (by completing this field I agree to this type of communication with my teen) Please enter a phone number.
  
  From time to time, publicity releases for newspapers, television, website, and other media may be prepared about events occurring at the parish. These may or may not be accompanied by photos or videotape of students. The releases may be prepared by Our Lady of the Rosary Parish or media representatives.
  
  Do you give permission for your teen to be included in such publicity releases/photos/videos? REQUIRED Please fill out this field.
  
  Code of Conduct Acknowledgement for Teens
  
  I acknowledge that I have received, read, understand and pledge to comply with the “ Code of Conduct for Children and Youth” within the Diocese of St. Petersburg, FL
  (to read and download your copy, please click on Code of Conduct above)
  I Agree Please select this field.
  
  Date REQUIRED Please fill out this field. Please enter a date.
  
  Teen 8
  
  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 REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Please fill out this field.
  
  Age REQUIRED Please fill out this field. Please enter valid data.
  
  School Attending REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  Choose one session from below: REQUIRED Please fill out this field.
  
  If this is your 2nd or more year, what were you involved in last year? Please enter valid data.
  
  Which Sacraments has this teen received? (check all that apply) REQUIRED None Baptism First Holy Communion Confirmation Please fill out this field.
  
  If baptized, name of Church/Location Please enter valid data.
  
  If received First Holy Communion, name of Church/Location Please enter valid data.
  
  If received Confirmation, name of Church/Location Please enter valid data.
  
  Please provide a copy or email a photo of your teen's completed sacraments to Deacon Frank or Kathy DeSanto.
  
  Medical Information:
  
  Allergies to medication or food: REQUIRED Please fill out this field. Please enter valid data.
  
  Current medications taken daily or regularly: REQUIRED Please fill out this field. Please enter valid data.
  
  Chronic medical problems or physical restrictions: REQUIRED Please fill out this field. Please enter valid data.
  
  If my teen becomes ill, he/she may be given the following by church representatives, volunteers or employees of OLOR: (choose any that apply) REQUIRED Tylenol Ibuprofen Throat lozenges Benadryl None of the above Please fill out this field.
  
  All the above information is true and given to Our Lady of the Rosary with parental permission.
  I Agree Please select this field.
  
  Communications/Publicity Release
  During the year your teen is a member of Our Lady of the Rosary RCIA. We try to keep them and you as a parent up to date with dates for meetings and/or changes in our calendar of events. With the implementation of the Safe Environment policies within the Diocese of St. Petersburg, we are now seeking your permission for these items
  
  I give my son/daughter permission to communicate with RCIA leaders through the use of: REQUIRED Please fill out this field.
  
  Teen's Email (by completing this field I agree to this type of communication with my teen) Please enter an email address.
  
  Teen's Mobile Number (by completing this field I agree to this type of communication with my teen) Please enter a phone number.
  
  From time to time, publicity releases for newspapers, television, website, and other media may be prepared about events occurring at the parish. These may or may not be accompanied by photos or videotape of students. The releases may be prepared by Our Lady of the Rosary Parish or media representatives.
  
  Do you give permission for your teen to be included in such publicity releases/photos/videos? REQUIRED Please fill out this field.
  
  Code of Conduct Acknowledgement for Teens
  
  I acknowledge that I have received, read, understand and pledge to comply with the “ Code of Conduct for Children and Youth” within the Diocese of St. Petersburg, FL
  (to read and download your copy, please click on Code of Conduct above)
  I Agree Please select this field.
  
  Date REQUIRED Please fill out this field. Please enter a date.
- If you are registering for RCIA adapted for teens above, please select "1" to complete the required section below: REQUIRED Please fill out this field.
  
  Acknowledgments 1
  
  By typing my name below, I acknowledge that I:
  
  Declare that all information I have provided to Our Lady of the Rosary is true and correct to the best of my knowledge.
  
  If any information above changes, especially medical information, it is my responsibility to contact the RCIA leaders of Our Lady of the Rosary so they can update my family and child’s records
  
  I have read the policies and procedures outlined for Our Lady of the Rosary and agree or acknowledge all information contained within.
  
  I understand that I need to sign and complete the following forms which will be kept on file for all RCIA events including retreats:
  
  Medical Release (if a parishioner of OLOR you don’t need to notarize)
  
  COVID-19 Waiver
  
  Please type your name below to agree to the terms stated above: REQUIRED Please fill out this field. Please enter valid data.
Submit

Register Online for RCIA for Teens

Medical Information:

Communications/Publicity Release

Code of Conduct Acknowledgement for Teens

Medical Information:

Communications/Publicity Release

Code of Conduct Acknowledgement for Teens

Medical Information:

Communications/Publicity Release

Code of Conduct Acknowledgement for Teens

Medical Information:

Communications/Publicity Release

Code of Conduct Acknowledgement for Teens

Medical Information:

Communications/Publicity Release

Code of Conduct Acknowledgement for Teens

Medical Information:

Communications/Publicity Release

Code of Conduct Acknowledgement for Teens

Medical Information:

Communications/Publicity Release

Code of Conduct Acknowledgement for Teens

Medical Information:

Communications/Publicity Release

Code of Conduct Acknowledgement for Teens