2025-26 OCIA Registration

St. John Nepomuk

Order of Christian Initiation for Adults (OCIA)

REGISTRATION
First Name:
Middle Name:
Last Name:
Maiden Name (if applicable):
Date of Birth:

MonthDayYear
Date
Age:
Place of Birth (city, state):
Name:

Father's First and Last NameMother's First, MAIDEN and Last Name
CONTACT INFORMATION
Address:

Street Address

Street Address Line 2

CityState

Postal / Zip Code
Cell Phone:
Evening/Weekend Phone:
Occupation:
E-Mail
example@example.com
RELIGIOUS HISTORY
What, if any, is your present religious affiliation?
YesNoI'm not sure
if yes, in what denomination were you baptized?
If baptized in a Catholic church we will need a copy of baptismal certificate which may be obtained at church of baptism.
Baptism Form

Cancelof
Date of Baptism if known (approximate if not sure):
Baptismal name (if different from current name):
Place of Baptism (name of church/denomination):
Address of Church of Baptism (if known), City, State:
Check the appropriate statements below and provide any information requested beneath each statement.
Penance (Confession)Eucharist(1st Communion)Confirmation
Baptized Catholics will not participate in various rites of the OCIA throughout the year, but will receive their sacraments at the Easter Vigil Mass
CURRENT MARITAL STATUS
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 I have not remarried.I am a widow/widower and have not remarried since my spouse's death.
a. Your Fiancé(e)'s name:
b. His/her current religious affiliation:
This is my first marriage.I have been married before.
This his/her first marriage.He/she has been married before.
e. When are you hoping to be married?
f. Where do you plan to be married?
If you or your spouse have ever been divorced, please make an appointment with Deacon Cliff Fitzmorris as soon as possible.
a. This is my first marriage Yes No
If no, what is the number of your current marriage? blank
b. This is his/her first marriage Yes No
If no, what is the number of his/her current marriage? blank
c. Your Spouse's Name:
d. His/her current religious affiliation:
YesNo
e. Date of Marriage:

MonthDayYear
Date
f. Place of Marriage:
g. Officiating Authority of Marriage:
(civil gov't, non-Christian minister, Christian minister, Catholic cleric)
h. If your marriage has been convalidated by the Catholic Church, please provide the date and parish where the Convalidation took place:
YesNo
FAMILY INFORMATION
List the name(s) of any children or other dependents (UNDER THE AGE OF 18) e.g., Daughter Jane; Stepson --- John
Relationship
Name
Birthdate

MonthDayYear
Date
Age
Relationship
Name
Birthdate

MonthDayYear
Date
Age
Relationship
Name
Birthdate

MonthDayYear
Date
Age
Relationship
Name
Birthdate

MonthDayYear
Date
Age
YesNo
If YES, PLEASE FILL OUT OCIC FORM (online at sjnok.org) for EACH child age 7 or older.

Children under 7 will receive Baptism only. More info will be provided later.
GENERAL QUESTIONS
1. What or who has led you to want to know more about the Catholic Faith?
2. Please describe the types of religious education you have received, as a child and as an adult.
3. What contact have you had with the Catholic Church to this point?
4. What are some of the questions or concerns you have about the Catholic Church?
If you are a baptized Catholic in need of Confirmation, the following statements DO NOT apply to you.

You may skip to Sponsor Information.
I need much more information about the Catholic Church before I would consider joining.I am considering joining, but I am still unsure about it.I’m fairly sure that I would like to join, but still need some time to study and pray about it.I am sure that I want to join the Catholic Church.
Your Sponsor if known:
All sponsors will need to fill out a Sponsor Registration.

Sponsors may NOT be a close relative such as spouse, fiancé(e), or parent.

Sponsors must be practicing Catholics in full communion with the Catholic Church, including having received Confirmation and, if married, having a Catholic marriage.

If you do not have a sponsor, we will be pleased to provide one for you.
Should be Empty:

CONTACT INFORMATION

RELIGIOUS HISTORY

CURRENT MARITAL STATUS

FAMILY INFORMATION

GENERAL QUESTIONS