Register for OCIA

Call Us Today! 715-234-2032

School Website

715-234-2032

School Website

OCIA Registration

Full Name*
First Middle Last
Address*
Mailing City State ZIP Code
Best phone number to reach you:*
Best email to reach you:*
Birthdate*
MM slash DD slash YYYY
City and State where you were born*
Father's Name*
First Middle Last
First, Middle, Last
Mother's Name*
First Middle Maiden Last Name
First, Middle, MAIDEN last name
Have you been baptized?*
- Yes
- No
- I'm not sure
I was baptized in a...*
Baptismal Name (this is the name you were baptized with)*
First Middle Last
Date of your Baptism:*
MM slash DD slash YYYY

Use today's date if you are unsure of date of baptism
Name of Church, City & State where you were Baptized:*
If you were baptized in the Catholic Church, check all other Sacraments you have received as well:*
- First Reconciliation (Penance)
- First Communion (Eucharist)
- Confirmation
- None
choose NONE if you were not baptized in the Catholic faith.
Marital Status*
- Single (Never Married)
- Married
- Widowed
- Divorced (Not Currently Married)
If Married
Spouse Full Name*
First Middle Last
First, Middle and Last (if a woman, needs to have the last name for MAIDEN)
Date of Marriage*
MM slash DD slash YYYY
Place of Wedding (Church, Park, Courthouse, Justice of the Peace)
City, State and Country of wedding*
City State / Province / Region Country
Were you or your spouse previously married?*
- Yes
- No
Is Previous Spouse ...
- Living
- Deceased
Have you or your spouse had an annullment from within the Catholic Church
- Yes
- No
If Divorced (and not remarried)
Is your previous spouse living or deceased?*
- Living
- Deceased
If Previous Spouse is Living
Spouse Full Name*
First Middle Last
First, Middle and Last (if a woman, needs to have the last name for MAIDEN)
Date of Marriage*
MM slash DD slash YYYY
Place of Wedding (Church, Park, Courthouse, Justice of the Peace)
City, State and Country of wedding*
City State / Province / Region Country
Have you or your spouse had an annullment from within the Catholic Church
- Yes
- No
Living Arrangements
Do you currently live with a boyfriend/girlfriend/significant other?*
- Yes
- No
Discussions
What, if any, is your present religious affiliation?*
What or who has led you to want to know more about the Catholic faith?*
Please describe the types of religious education you have received, as a child and as an adult.*
What contact have you had with the Catholic Church to-date?*
What are your main questions or concerns about the Catholic Church?*
At this point in time, which of the following statements best describes you?*
- I need much more information before I would consider joining.
- I am considering joining but, I am unsure and would like to meet with someone to discuss my questions.
- I want to join the Catholic Church.
- I am a registered member of the 4 Parishes/1 Faith Catholic Family and would like to fully join the Catholic Faith.
Signature*
Print Signature Name*
First Last
Date*
MM slash DD slash YYYY

PARISH ADMINISTRATION OFFICE

Address / Phone:

111 West Marshall Street Rice Lake, WI 54868
(715) 234-2032

Email:

Contact Parish

Hours:

Monday-Thurs 8:30 am to 5:00 pm
Friday 8:30 am to 12:00 noon

OCIA Registration

If Married

If Divorced (and not remarried)

If Previous Spouse is Living

Living Arrangements

Discussions

PARISH ADMINISTRATION OFFICE

Address / Phone:

Email:

Hours: