OCIC Child Sacrament Request Form

O.C.I.C. (Order of Christian Initiation of Children) Child Sacrament Request Form
Candidate Name:*

First NameLast Name
Father's Name:

First NameLast Name
Mother's Name:

First NameLast Name
Mother's Maiden Name:

First NameLast Name
Parent Cell Phone Number*
Please enter a valid phone number.
Text Okay?*

YesNo
Parent Email*
example@example.com
Candidate's place of birth Street Address Address Line 2 City State Zip Candidate's Birthdate Birthdate
Sacraments you are requesting:

BaptismFirst CommunionConfirmation
If requesting Baptism, please complete the following:

**For Baptism, one Godparent is required and must be a confirmed Catholic. Two Godparents are optional. Godparent(s) may NOT be your parents.
Godparent #1: First Name Last Name Cell phone: Area Code Phone Number Text okay? yes no Email: Email
**Your birth certificate is required. **
Godparent #2: First Name Last Name Cell phone: Area Code Phone Number Text okay? yes no Email: Email
**Your birth certificate is required. **
Should be Empty:

O.C.I.C. (Order of Christian Initiation of Children) Child Sacrament Request Form