Holy Family Catholic Church | OCIA Registration

OCIA Registration

Today's Date(Required)

Student Name(Required)

Frist Name Last Name

Special Needs

(Medical, Learning Disabilities, Physical Disabilities, etc.)

Date of Birth(Required)

Cell Phone Number(Required)

Email(Required)

Address(Required)

Street Address City ZIP Code

Father's Name

First Name Last Name

Mother's Name

First Name Last Name

Have you ever been baptized?(Required)

Yes

No

If you answered yes above: List the name of the church and/or religion.

If you were baptized Catholic, please indicate which sacraments you have already received:(Required)

Reconciliation (Confession)

First Communion

Confirmation

None of the above

Check all that apply(Required)

I need more information

I will need an annulment

I am not married

I am married

I am divorced but not remarried

I am divorced and remarried

I have never been married

I have received an annulment

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