EmailMe Form - Order of Christian Initiation Sponsor Information

Name *

First Middle Last

Gender *

Primary Phone Number *

### - ### - ####

Email Address *

Date of Birth *

MM / DD / YYYY

Place of Birth *

Occupation *

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Are you already registered at All Saints Catholic Church? *

Yes

No

Please provide the name of the parish where the teen is registered and for how long. *

How long have you been Catholic ? *

Are you a practicing Catholic?

Yes

No

Is your family of Catholic origin?

Yes

No

If not, what religion or denomination were you? *

Have you ever been an OCIA sponsor before?

Yes

No

Why do you want to be a sponor? *

What do you expect to receive from your involvement in OCIA? *

Have you been confirmed? *

Yes

No

Have you been married *

Yes

No

Children's Name(s) & their ages.

List any hobbies or interests you have:

Do you have any special gifts, talents, or areas of interest that might be helpful to the OCIA process?

Are you willing to attend OCIA classes each Sunday Morning? *

Yes

No

Have you had a Sterling background check in the past 5 years?: *

Yes

No

MEDIA RELEASE FORM
REF ID#: YP-MEDIA-04302013.14

Our parish, All Saints Catholic Church, uses images, interviews, and videos of our adults, teens, or childen for a variety of internal and external communications. Our forms of internal and external communications include but are not limited to: print, such as newspapers, bulletins, and newsletters; photographs and digital images; film and videos; web posts, web pages, and image carousels; social networking platforms including but not limited to Facebook, Twitter,
and Instagram.

We follow the Archdiocese of Atlanta’s Social Media Policy and Guidelines for the Use of Social Networking Sites with
Minors. Please see this resource for more information.
Please indicate below whether our parish and/or school has permission to circulate interviews, images, and/or videos of your child for all parish and/or school events for one year: *

*

NO, I do not want to be included, nor my image used, in any internal or external communications.

I hereby grant permission for the following parish, All Saints Catholic Church, to use images and interviews of myself, for internal or external communications for one year.

I may be photographed and/or interviewed for The Georgia Bulletin, and other media outlets. I understand content may be reprinted in The Georgia Bulletin or other media for public dissemination, including but not limited to film; video; television; radio; newspapers such as The Atlanta Journal and Constitution; websites and online platforms; and social media networks including but not limited to Facebook, Twitter, and Instagram. I release and relieve the parish and/or school, and the Archdiocese of Atlanta, from any responsibility or liability for any claims arising from the publication or reproduction of any photographs or interview in any news or other media. I waive any and all right to inspect or approve the finished images, video, or printed matter that may be used in conjunction with any image or video, or to approve the eventual use for which it may be applied. I understand that photographs, videos, and/or interviews are being done with the knowledge and approval of the parish and/or school, and that a signed release form is required for every participating individual.

Signature

Clear

Date Time

MM / DD / YYYY

** MEDIA RELEASE FORM ** REF ID#: YP-MEDIA-04302013.14

MEDIA RELEASE FORM
REF ID#: YP-MEDIA-04302013.14