OCIA Registration

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

Last Name REQUIRED Please fill out this field. Please enter valid data.
Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
Email REQUIRED Please fill out this field. Please enter an email address.
Date of Birth (X/X/XX) REQUIRED Please fill out this field. Please enter valid data.
Address:
Street 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.
Father's First and Last Name REQUIRED Please fill out this field. Please enter valid data.
Mother's First and Last Name Please enter valid data.
What is the best time for you to meet? REQUIRED Mornings Daytime Evenings Anytime Please fill out this field.
Are you available on weekday evenings? REQUIRED Yes No Not sure Please fill out this field.
Were you baptized in the Catholic Church? REQUIRED Yes No, I have never been baptized No, I was baptized in another church Please fill out this field.
If you were not raised Catholic what church or religion did you belong to, if any? Please enter valid data.
Name of the church where you were baptized (if applicable) 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.
If you are Catholic, which of the following Sacraments have you already received? (please check all that apply) REQUIRED None First Communion Confirmation Marriage in the Catholic Church Please fill out this field.
What is your current marital status? (please check all that apply) REQUIRED Never married Not married but in a relationship Engaged Married in the Catholic Church Married but not in the Catholic Church Divorced Remarried Widowed Please fill out this field.
If married is your spouse Catholic? Please enter valid data.
If engaged, is your fiancé Catholic? Please enter valid data.
Comments or Questions (Optional)

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