OCIA Adult Registration

O.C.I.A. (Order of Christian Initiation of Adults) Adult Registration Form
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Cell Phone Number*
Please enter a valid phone number.
Text Okay?*

YesNo
Email*
example@example.com
Sacraments you are requesting:

BaptismFirst CommunionConfirmationJust curious
If Baptized:

**Your Baptism Certificate is required**
Place of Birth: City, State* Birth date: Birthdate*
Place of Baptism: Street Address Address Line 2 City State Zip Baptism date: Baptism Date*
If baptized, what are your parents' names: Father's First Name Father's Last Name and Mother's First Name Mother's Maiden Name ? Also, your Grandparents' names: First Name Last Name and First Name Last Name .
Are you currently attending Mass on a weekly basis   No   Yes
How often do you typically attend Mass? How often do you typically attend Mass
Which St. Jude Mass do you usually attend?   Which St. Jude Mass do you typically attend?
or:
I attend Mass at another parish: Name of parish   and I am seeking my Sacraments at St. Jude of the Lake Parish instead of my home parish because:   because
Current Marital Status:*

Single, never marriedDivorcedUnmarried, co-habitatingMarried in the Catholic churchMarried, civilly or in another faithMarried, separated from my spouseEngaged to be married in the Catholic church (Engaged couples are encouraged to attend OCIA classes together)
If Married or Engaged: (choose all that apply)

This is my first marriageI was previously marriedI was previously married, and my spouse passed awayMy spouse was previously married and his/her spouse passed awayThis is my spouse's first marriageMy spouse was previously divorced
Fiancee's name: First Name Last Name Wedding date: Date Church: Church name Street Address Address Line 2 City State Zip
Family Information:
Spouse's Name: First Name Last Name Spouse's Birthdate: Date Baptized: Yes No Religion of Baptism: Religion of Baptism Spouse's Sacraments: (list all received) list all Sacraments
Child's Name: First Name Last Name Child's Birthdate: Date Baptized: Yes No Religion of Baptism: Religion of Baptism
Child's Name: First Name Last Name Child's Birthdate: Date Baptized: Yes No Religion of Baptism: Religion of Baptism
Child's Name: First Name Last Name Child's Birthdate: Date Baptized: Yes No Religion of Baptism: Religion of Baptism
Child's Name: First Name Last Name Child's Birthdate: Date Baptized: Yes No Religion of Baptism: Religion of Baptism
Should be Empty:

O.C.I.A. (Order of Christian Initiation of Adults) Adult Registration Form

If Baptized:

Family Information: