OCIA Registration Form Online | THE CHURCH OF ST. FRANCIS XAVIER

OCIA 2026-2027 Registration Form
Name (First Name-Middle Name-Maiden Name-Last Name):
Birth Date

MonthDayYear
Place of Birth:
Father's Name (First Name-Middle Name-Last Name):
Mother's Name (First Name-Middle Name-Maiden Name-Last Name):
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Home Phone Number:

Area CodePhone Number
Work Phone Number:

Area CodePhone Number
Cell Phone Number:

Area CodePhone Number
E-Mail Address:
What, if any, is your present religious affiliation?
Have you received the Sacrament of Baptism?
Have you received the Sacrament of Reconciliation?
Have you received the Sacrament of the Eucharist?
If you have received the Sacrament of Baptism
Date of Baptism:

MonthDayYear
Religion/Denomination:
Church of Baptism:
Church Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
If you have received the Sacrament of Confirmation
Date of Confirmation:

MonthDayYear
Religion/Denomination:
Church of Confirmation:
Church Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Other information
Do you have a sponsor?
Sponsor Information

Please provide the following information as soon as you decide who will be your sponsor
Sponsor’s Full Name

First NameMiddle NameLast Name
Sponsor’s E-mail
Sponsor’s Phone Number

Area CodePhone Number
Saint Information

Please provide the name of your patron or patroness Saint as soon as you select one
Name of the Saint
Message:
Should be Empty:

OCIA 2026-2027 Registration Form

If you have received the Sacrament of Baptism

If you have received the Sacrament of Confirmation

Other information

Sponsor Information

Saint Information