OCIA Adult Sacrament Request Form

O.C.I.A. (Order of Christian Initiation of Adults) Adult Sacrament Request Form
Candidate Name:*

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

YesNo
Email*
example@example.com
Father's Name:

First NameLast Name
Mother's Name:

First NameLast Name
Mother's Maiden Name:

First NameLast Name
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 Adult Baptism, please complete the following:

**For Baptism, one Godparent/Sponsor is required and must be a confirmed Catholic. Your Godparent/Sponsor may not be your parents or your spouse. Your Godparent/Sponsor will also serve as your Confirmation sponsor.
Godparent/Sponsor: First Name Last Name Cell phone: Area Code Phone Number Text okay? yes no Email: Email
**Your birth certificate is required. **
If baptized and only requesting Confirmation, please complete the following:

**For Confirmation, one Sponsor is required.

Your Sponsor may NOT be your parents or your spouse.
Sponsor: First Name Last Name Cell phone: Area Code Phone Number Text okay? yes no Email: Email

**Your birth certificate is required. **
If married, please complete the following:
Spouse's name: First Name Last Name Baptized: Yes No Religion of Baptism: Religion of Baptism Were you married in the Catholic Church yes no Ceremony Location: Street Address Address Line 2 City State Zip

Have you completed a conversation with Fr. Chad for marriage convalidation in the Catholic Church: yes no

**Your marriage license is required **
Should be Empty:

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