Confirmation/OCIA Registration Form

Registration Form
Sacrament Information
Father's Full Name

First NameMiddle NameLast Name
Mother's Full Name

First NameMiddle NameLast Name
Mother's Maiden Name

First NameMiddle NameLast Name
Are you Baptized?
If you answered yes to the above question, please provide the information below. If you are not Baptized yet, please just put n/a
In what denomination were you Baptized?
Date of Baptism (not required)

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Church of Baptism
Address of Church of Baptism
Names of Baptismal Sponsors
If you are already Baptized, proof of Baptism must be received by the parish office at least two weeks prior to any Sacrament.
First Communion Information
Have you received your First Communion?
If you answered yes, where did you receive your First Communion?
Current marital status
Your Information
Your Full Name

First NameMiddle NameLast Name
Your Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Place of Birth (city & state)
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Your Email
example@example.com
Your Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Signature
Should be Empty:

Registration Form