26-27 Order of Christian Initiation for Adults (O.C.I.A.)
Registration Form
Name
*
First Name
Middle Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State/Postal Zip Code
Postal / Zip Code
Contact Information
*
Phone Number
Email
Date of Birth and Age
*
Date of Birth
Age
Place of Birth
*
Town/City/State/Country
Nativity Parish Registration Information
*
I am a registered Nativity parishioner.
I am Not a registered Nativity parishioner, but would like to be.
I am not registered as a Nativity parishioner.
Father's Name
First Name
Last Name
Mother's Name
First Name
Last Name
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Current Marital Status
*
I am married
I am engaged to be married
I have never been married in any type of ceremony, religious of secular (civil)
I am divorced and have not remarried
I am a widow/widower and have not remarried
Marriage Information
Name of the Church which dispensed the Sacrament of Marriage
Address of the Church which dispensed the Sacrament of Marriage
Date of Marriage
/
Month
/
Day
Year
Date
Spouse's Name
First Name
Last Name
Spouse's Phone Number
Sacramental Information
Rows
Received
Church where sacrament was received
Date of Sacrament
Baptism
First Communion
Confirmation
Which sacrament(s) would you like to receive?
If you have received the sacrament of baptism, in which Christian denomination were you baptized?
ex: Roman Catholic; Baptist; Evangelical; Presbyterian; etc.
Baptism and First Communion Certificate
Please upload each certificate for which you have received a sacrament. Certificates are required for registration.
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Why are you interested in taking the O.C.I.A. course?
Are you interested in the O.C.I.A. program to receive a sacrament or formation only?
Why are you seeking to deepen your understanding of the Catholic faith?
What contact have you had with the Catholic Church to date?
What are your expectations from this course?
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Applicant's Signature
*
Date
*
-
Month
-
Day
Year
Date
Payment
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Paid In Full
Registration Payment for O.C.I.A.
Registration Payment for O.C.I.A.
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