OCIA Registration Form

OCIA Registration Form

Information on this form is held in confidence and is not shared without your permission
Name

First NameMiddle NameLast Name
Maiden Name (if applicable)

First NameMiddle NameLast Name
Birth Date

MonthDayYear
Place of Birth
City, State and Country
Father's Name
Mother's Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
E-mail
example@example.com
Mobile Number
Format: (000) 000-0000.
Additional Contact Number
Format: (000) 000-0000.
What, if any, is your present religious affiliation?
Have you been baptized?
If you answered "Yes" in the drop-down menu above, please provide the following information: Baptism name, date, denomination, location (please provide location address if known),
If you were baptized as a Catholic, check the sacraments you have already received
Have you ever been married?
If you selected "Yes, I am currently married" please provide your spouse's name, religious affiliation, and if this is your first marriage.
If you selected "Other", please describe your current situation.
For your spouse
If your spouse has been married before, please provide the date, place of marriage and Officiating Authority of Marriage (i.e. civil government, minister, cleric)
What or who has led you to want to know more about the Catholic Faith?
Please describe the types of religious education you have received, as a child and as an adult
What contact have you had with the Catholic Church to date?
What are some of the questions or concerns you have about the Catholic Church?
At this point in time, which of the following statements best describes your present feelings and thoughts about the possibility of joining the Catholic Church?
Should be Empty: