OCIA Registration form

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.

Name you go by REQUIRED Please fill out this field. Please enter valid data.

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 a phone number.

Email REQUIRED Please fill out this field. Please enter an email address.

Birthdate REQUIRED Please fill out this field. Please enter a date.

Place of Birth REQUIRED Please fill out this field. Please enter valid data.

Have you been baptized? REQUIRED Yes No Please fill out this field.

If yes, what Church were you baptized? REQUIRED Please fill out this field. Please enter valid data.

Date of Baptism REQUIRED Please fill out this field. Please enter a date.

What brings you to OCIA at this time, and what are you hoping to learn or receive through this process? REQUIRED Please fill out this field.

Marital Status REQUIRED Please fill out this field.

IF YOU ARE ENGAGED:

If you are engaged, what is your fiancé(e)'s Name Please enter valid data.

Is your fiancé Catholic? Yes No

Will this be your first marriage? Yes No

Will this be your fiancé's first marriage? Yes No

Do you plan to marry in the Catholic Church Yes No Unsure

Has your wedding been scheduled? Yes No

If yes, where will the wedding take place?

IF YOU ARE MARRIED:

Spouse's Name Please enter valid data.

Is your spouse Catholic? Yes No

Is this your first marriage? Yes No

Is this your spouse's first marriage? Yes No

Were you married in the Catholic Church? Yes No

If no, where were you married? Please enter valid data.