If you have found this site, but have not yet completed an RCIA interest form or had a one-on-one meeting with Susie Osacho, Director of Faith Formation, please click here to complete those two steps, prior to completing this form.

As you or your minor child begin a more formal inquiry and formation process in the Catholic Faith at St. Richard's Catholic Church, there is some basic information, emergency contact information, permissions and waivers we need. Note that some meetings may occur on-site, in person, and will require that follow new safety protocols.

Allow approximately 20 minutes to complete this registration form. Before beginning, you may wish to gather the following information for each person who will be participating in RCIA:

• dates and location of birth,
• dates and locations of any sacraments received, including baptism,
• health insurance information,
• contact information for your child's medical provider/clinic, and
• contact information for an emergency contact person who does not live in your home.

RCIA PARTICIPATION (& Minor Permission) FORM

Permission & Liability Waiver
I hereby grant permission for the above-named child(ren) to participate in Confirmation Preparation and all related activites, including service hours, and I warrant that my child(ren) is in good health. In consideration of my child(ren)’s participation, I agree to indemnify the Church of St. Richard (dba St. Richard’s Catholic Church), and the Archdiocese of Saint Paul and Minneapolis from any claims or law suits brought against St. Richard’s Catholic Church and the Archdiocese of Saint Paul and Minneapolis by me, my child(ren) or others, that arises out of any behavior by my child during Faith Formation and/or Sacramental Preparation. I also agree to pay reasonable attorney’s fees or expenses incurred by St. Richard’s Catholic Church and the Archdiocese, in defense of such a claim/suit.

Disclosure, Authorization and Consent for Social Media or other Electronic Communication Involving Minors 

In order to ensure transparency and parental involvement, St. Richard’s Catholic Church has created this consent form so that parents and guardians may provide authorization for St. Richard’s Catholic Church leaders to electronically communicate with minors. Such communications must comply with St. Richard’s Catholic Church policies, including restrictions on private communications with minors.

While the current plan is to proceed with in-person gatherings--which reduces the need for St. Richard's Church leaders to communicate with minors electronically, we wish to be prepared for if/when in-person gatherings will be suspended, and are asking parents/guardians to give us this permission now, at the start of the session. 

I grant permission for staff or other leaders of St. Richard’s Catholic Church to communicate with My Child electronically. I understand that such communications are for St. Richard’s Catholic Church purposes only and may involve group communications relating to St. Richard’s Catholic Church activities. Further, I understand and authorize that such electronic communications may be made via text, email, telephone and cell phone, social media, digital networking, and other electronic means.

I acknowledge that to review or receive public communications shared via social media with My Child, I will need to have an account with the same social media platforms or become a fan or follower of the same social media. I also understand that communications may be accessible or viewable by others who are also fans or followers of the same social media. 

This Disclosure, Authorizations, and Consent form is valid for one year. 

If I choose to rescind this authorization and consent, I agree that I will inform St. Richard’s Catholic Church in writing and that this rescission will not take effect until it is received by St. Richard’s Catholic Church.

I have read the above Disclosure, Authorizations, and Consent, have had the opportunity to consider their terms, and understand them. I execute this document voluntarily and with knowledge of its significance.

Authorization, Consent and Release for Use of Visual Likeness and Original Works of Minors 

This form allows you, the parent or guardian, to identify if images of your child and their original works may be used for purposes of print, online, social media communication and promotion. 

I grant the following rights to St. Richard's Catholic Church and the Archdiocese of Saint Paul and Minneapolis:

1. The right to use all photographs, pictures, portraits, vocal sounds, appearances/likenesses, video and performances (hereinafter collectively known as “image”) of My Child in the possession of St. Richard's Catholic Church;
2. The right to use, reproduce, publish, exhibit, distribute, and transmit the image of My Child individually or in conjunction with other images or printed matter in the production of brochures, slides, motion pictures, broadcasts (radio, television, and other social and digital media), audio or video files, recordings, still photography, CD-Rom and any other manner of media now known or later developed;
3. The right to use, reproduce, publish, exhibit, distribute, and transmit the image of My Child individually or in conjunction with other images or printed matter on St. Richard's Catholic Church and the Archdiocese of Saint Paul and Minneapolis’s Internet websites. No home address or phone number will be published;
4. The right to record, reproduce, amplify, edit, and simulate My Child’s image and all sound effects produced; 
5. The right to copyright, in the name of St. Richard's Catholic Church and the Archdiocese of Saint Paul and Minneapolis, works that contain the image of My Child;
6. The right to use and publish for general communications, advertising, commercial or publicity purposes, or for any other lawful purpose whatsoever My Child’s original work; and 
7. The right to assign the above-mentioned rights to third parties without notice to me.

I understand that the video files, still photos, or other media incorporating the image of My Child will become the property of St. Richard's Catholic Church. I hereby waive the right to inspect or approve the image or any finished materials that incorporate the image. I understand and agree that no compensation will be provided, now or in the future, in connection with the use of My Child’s image or My Child’s original work.

I hereby release, discharge, and agree to indemnify and hold harmless St. Richard's Catholic Church, the Archdiocese of Saint Paul and Minneapolis, and their agents, employees and assigns from any and all claims, demands, right, and causes of action of whatever kind that I or My Child have or may have or may arise by reason of this authorization and from the use of My Child’s image and original work, including but not limited to, all claims for libel and invasion of privacy.

This consent regarding My Child’s likeness and original work is valid until such time as I choose to rescind this authorization and consent. If I choose to rescind this authorization and consent, I agree that I will inform St. Richard's Catholic Church in writing and that my rescission will not take effect until it is received by St. Richard's Catholic Church. I understand and acknowledge that it may not be possible to recall any work or photos that have been published prior to receipt of my written rescission.

I hereby authorize and consent that St. Richard's Catholic Church and the Archdiocese of Saint Paul and Minneapolis have the right to use My Child’s name in connection with their educational, promotional, fund-raising activities, or for any other legitimate purpose.