OCIA Registration Form

First Name / Middle In. / Last Name(Required)

Maiden Name (if applicable)

Mailing Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone Number(Required)

Email(Required)

Date of Birth(Required)

Place of Birth(Required)

Name of Father(Required)

Name of Mother (including Maiden Name)(Required)

Current Marital Status

Are you married?(Required)

What is your spouse's name and his/her religious affiliation?

When and where were you married?

Was your spouse previously married?

Minister of Marriage?

If not married, are you engaged?

If you are engaged, what is your fiance's name and what is his/her religious affiliation?

If not currently married, were you previously married?

Family Information

Please list any children (or dependents) and their ages.(Required)

What is your current religious affiliation?(Required)

Have you ever been baptized? If so, what denomination?(Required)

What is the date of your baptism and where were you baptized?(Required)

Untitled

If you were baptized Catholic, please click which of the following Sacraments you have already received.

None

Confession

Confession and First Communion

Confession, First Communion and Confirmation

General Questions

What or who has led you to want to know more about the Catholic faith?(Required)

What contact have you had with the Catholic Church to date?(Required)

Please describe the types of religious education you have received, as a child and as an adult(Required)

If you are not Catholic please click the statement that best describes your present thoughts and feelings about possibly joining the Catholic Church.(Required)