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OCIA -Adult Registration Form

- Faith Formation
  - EDUCATION
    
    Parish School of Religion (PSR)
    OCIA - Adult / OCIC - Child
    
    OCIC - Child Registration Form
    OCIA -Adult Registration Form
    
    OCIA Sponsor Form
    
    Vacation Bible School
    Resources
  - SACRAMENTAL PREPARATION
    
    First Reconciliation & First Communion
    Confirmation
  - OUR SCHOOLS
    
    Holy Family Pre-K3
    Holy Family School

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- Contact Information
  
  Name (First, Middle, Maiden, Last) REQUIRED Please fill out this field. Please enter valid data.
  
  Home Address REQUIRED Please fill out this field. Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  Phone Number REQUIRED Please fill out this field. Please enter valid data.
  
  Email Address REQUIRED Please fill out this field. Please enter valid data.
  
  Occupation REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Place of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Age: REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Please fill out this field.
- Father's Full Name (First, Middle, Last) REQUIRED Please fill out this field. Please enter valid data.
- Mother's Full Name (First, Maiden, Last) REQUIRED Please fill out this field. Please enter valid data.
- Religious History
  
  What, if any, is your present religious affiliation? REQUIRED Please fill out this field. Please enter valid data.
  
  Have you ever been baptized? REQUIRED Please fill out this field.
  
  If you answered “Yes," please provide the following information:
  
  In what denomination were you baptized? Please enter valid data.
  
  Date or approximate age when you were baptized: Please enter valid data.
  
  Place of Baptism (Name of church/denomination): Please enter valid data.
  
  Address, if known: Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  If baptized as a Catholic, check all sacraments you have received: REQUIRED Penance(Reconciliaton) 1st Communion Confirmation Please fill out this field.
- Current Marital Status
  
  Choose the appropriate statement below and provide any relevant information. REQUIRED Please fill out this field.
  
  If married or engaged, please provide the following information:
  
  Spouse/Fiancé’s Name Please enter valid data.
  
  Your Spouse/Fiancé’s Current Religious Affiliation (if any): Please enter valid data.
  
  Marital History
  
  Spouse/Fiancé’s Marital History
- Which of the following best describes your feelings about the possibility of joining the Catholic Church REQUIRED Please fill out this field.
Submit

OCIA -Adult Registration Form

If you answered “Yes," please provide the following information:

If married or engaged, please provide the following information: