OCIA Inquiry 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.

Address 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.

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

Cell Phone Please enter valid data.

Email Please enter an email address.

Occupation Please enter valid data.

What is your current religious affiliation? REQUIRED Please fill out this field. Please enter valid data.

Have you ever been baptized? If so, what denomination? REQUIRED Please fill out this field. Please enter valid data.

If yes, where were you baptized and what was the date? REQUIRED Please fill out this field. Please enter valid data.

If you were baptized Catholic, other Sacraments already received: None Eucharist Reconciliation Confirmation Matrimony

If you were Baptized Catholic, and are seeking to receive other Sacraments, which ones? Please enter valid data.

If you are Catholic and received First Communion, what was the Parish and date? Please enter valid data.

What or who has led you to want to know more about the Catholic faith? Please enter valid data.

What contact have you had with the Catholic Church to date? Please enter valid data.

Please describe the types of religious education you have received, as a child and as an adult. Please enter valid data.

Is there anything else you would like to tell us? Please enter valid data.