OCIA Inquiry Form
Name
First Name
Last Name
Middle Name
Maiden Name (if applicable)
Date of Birth
Age
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Occupation
What, if any, is your present religious affiliation?
Have you ever been validly baptized?
Yes
No
Not sure
If you answered “Yes” to the previous question, please provide the following information:
In what denomination were you baptized?
Date or your approximate age when you were baptized:
Baptismal name (if different from current name):
Place of Baptism (name of church/denomination):
What is the address and/or loacation of the place that you were baptized? Include locality (town, city, county, etc.), region (state, province, territory, etc.), and country
If you were baptized as a Catholic, check those sacraments you have already received:
Eucharist (First Communion)
Confirmation
Reconciliation (Confession)
Submit
Should be Empty: