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Register for OCIA
Categories:
Forms
Published On: March 16th, 2020
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OCIA Registration
Full Name
*
First
Middle
Last
Address
*
Mailing
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
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
*
Have you been baptized?
*
Yes
No
I'm not sure
I was baptized in a...
*
Catholic Church
Christian Denomination Church
Not sure
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.
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 Cluster and would like to fully join the Catholic Faith.
Signature
*
Print Signature Name
*
First
Last
Date
*
MM slash DD slash YYYY
Please NOTE: There is $100.00 fee for you to attend our RCIA classes if you are not registered (or willing to register) in our Cluster of Parishes.
*
Yes, I am registered in this Cluster or will be getting registered with one of the Four Parish/One Faith Cluster Parishes.
No, I'm not registered (or I am registered with a Parish outside of the Cluster) and I understand that there is a $100.00 fee.
Payment Information
Total
$0.00
Credit Card
Card Details
Cardholder Name
75396
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