OCIC Inquirer Information Form
Complete this family profile for your child or teen so our parish staff can follow up and guide you through the OCIC process.
Child / Teen Information
First Name
*
Middle Name
Last Name
*
Date of Birth
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Place of Birth — City
Place of Birth — State/Province
Place of Birth — Country
Grade Level and Current School
*
Parent / Guardian 1
First Name
*
Last Name
*
Relationship to Child
*
Please Select
Mother
Father
Stepparent
Adoptive Parent
Legal Guardian
Grandparent
Other
Religious Affiliation
Parent / Guardian 2
First Name
*
Last Name
*
Relationship to Child
*
Religious Affiliation
Primary Contact
Street Address
*
Address Line 2
City
*
State / Province
*
ZIP / Postal Code
*
Country
Preferred Cell Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Preferred Email
*
example@example.com
Living Situation
Child or teen lives with (check all that apply)
*
Both Parents
Mother only
Father only
Blended Family (Parent and Stepparent)
Other
Other (please specify)
If your child or teen lives with a stepparent, please provide name(s)
If your child lives with one parent or guardian, who has legal custody? (Name and Relationship)
Baptismal Information
Has your child or teen been baptized?
*
Please Select
Yes
No
I'm not sure
Denomination of baptism
Approximate age at baptism
Baptismal name, if different
Place of Baptism — Name of Church / Denomination
Baptism address, if known
Baptism location — City / State / Country
If baptized Catholic, other sacraments received (check all that apply)
Reconciliation (Confession)
Eucharist (First Communion)
Confirmation
Submit OCIC Inquirer Information
Should be Empty: