OCIA(ORDER OF INITIATION FOR ADULTS) Form

OCIA(ORDER OF INITIATION FOR ADULTS) Form
Information is held in confidence and is not shared without your permission.
Complete Full Name /Nombre Completo
Maiden Name if applicable/ Nombre de Soltero
Date of Birth/Fecha de Nacimiento

MonthDayYear
Date
Place of Birth City State Country if not USA
Address/ Dirección

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Cell Phone
Format: (000) 000-0000.
Email
example@example.com
1. What if any is your present religious affiliation/Cual es su afiliación religiosa?
2. Have you been baptized? Ha sido bautizado?
a In what denomination were you baptized/ En que denominación fue bautizado?
b Date when you were baptized/ Fecha de Bautizo?

MonthDayYear
Date
c Place of Baptism(Name of church denomination)/ Nombre de la Iglesia de bautizo
d Address if known/Dirección de la iglesia(si se la sabe)
e City, State and Country(if not USA)/ Estado, Cuidad y Pais si no fue en USA
f. If you were baptized as a Catholic, check those sacraments you have already received:
3. Current Marital Status./ Estado Marital Actual.
3. Please select the Sacraments you are looking to recieve/Selecciona los sacramentos que deseas recibir
a. Your Fiancées Name/Nombre de su prometido/a
b. Your Fiancées Current Religious Affiliation if any/Afiliación religiosa actual de su prometido/a:
a. Your Spouses Name
b. Your Spouses Current Religious Affiliation if any
c. Date of Marriage

MonthDayYear
Date
d. Place of Marriage
4. Family Information: How many children or dependents do you have?
a.List the name(s) of any children or other dependents. (e.g. Daughter-Jane; Stepson-John

a. Aliste los nombre(s) de hijos o dependes
Name
Age
Relationship
Name
Age
Relationship
Name
Age
Relationship
Name
Age
Relationship
Name
Age
Relationship
Name
Age
Relationship
5. Which day do you want to come to class?/Que dia le gustaria venir a clases?

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OCIA Fee/ Cuota de OCIA

$80.00

Total

Credit Card

Should be Empty:

OCIA(ORDER OF INITIATION FOR ADULTS) Form

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Credit Card

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