Adult Inquirer/ OCIA Registration Form
Order of Christian Initiation of Adults
Name
First Name
Last Name
Date of Birth:
Place of Birth:
Name of Mother: (Maiden Name)
Name of Father:
Contact Information
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Email
example@example.com
Religious History
What, if any, is your present religious affiliation?
Have you ever been baptized?
Please Select
Yes
No
Not sure
You must prove baptism in the Trinitarian Formula through baptismal certificate or letter from the church. If you are unable you will be Conditionally Baptized
If yes, in what denomination were you baptized?
Date or approximate age when you were baptized?
Baptismal name: (if different from current name)
Place of Baptism: (name of church)
Address of Church:
If you were baptized as a Catholic, check the sacraments you have already received:
Baptism
Penance (Confession)
Eucharist (First Communion)
Confirmation
Current Marital Status
Check the appropriate statement below and provide additional information requested
I have never been married
I am engaged to be married
I am married
I am married but separated from my spouse
I am divorced and have not remarried
I am a widow/widower and have not remarried since my spouses death
If you answered, I am engaged
If you are seeking to be married in the Catholic Church, you must have all oprevious marriages annulled.
Fiance's name:
Fiance's current religious affiliation:
For you:
This will be my first marriage
I have been married before
For your fiance
This will be his/hers first marriage
My fiance has been married before
If you answered, I am married
If you are seeking to be married in the Catholic Church, you must have all oprevious marriages annulled.
Spouses name:
Spouses current religious affiliation:
For you
This is my first marriage
I have been married before
For your spouse
This is my spouses first marriage
My spouse has been married before
Date of your marriage:
Place of your marriage:
Officiating authority of marraige:
Family Information
List the names of any children or other dependents
Names, age and relationship:
What or who has led you to want to know more about the Catholic Faith?
Please describe the types of religious education you have recieved, as a child or adult?
What contact or experince have you had with the Catholic Church?
What are some of the questions or concerns you have about the Catholic Church?
Submit
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