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OCIA Registration

Order of Christian Initation of Adults General Information Sheet (Confidential)

Name(Required)

First Last

Father's Name(Required)

First Last

Mother's Maiden Name(Required)

First Last

Date of Birth(Required)

MM slash DD slash YYYY

Place of Birth (City/State/Zip)(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone(Required)

Additional Phone Number

Email(Required)

Religious Affiliation

Were you ever Baptized/Sprinkled/Christened?(Required)

If yes, at what age?

If yes, a copy of your Baptismal Certificate is needed

Max. file size: 300 MB.

If yes, what denomination (Baptist, etc.)

And the Name of the church, City and State

Please describe your participation in this denomination

Did you ever leave this denomination and join another?

Yes

No

If yes, please explain

If you were Baptized Roman Catholic of Orthodox, did you receive the following sacraments?

First Communion

First Penance

Confirmation

Martial Status

I am presently(Required)

Married

Engaged

Single and never married

If married, please provide the following information on your spouse/fiance:

Name of spouse or fiance

First Last

Is he/she baptized?

Yes

No

If baptized, what denomination?

What is his/her present religion?

Does he/she practice their religion faithfully?

Yes

No

Place of Marriage

Date of Marriage

MM slash DD slash YYYY

Was this marriage (or will this marrage) be witnessed by a:

Have you or your present spouse/fiance contracted any previous marriages? If yes, complete the information in the next section as it applies to each previous marriage

Yes

No

About your prior Marriage(s)

To whom

Denomination

Marriage ended by

Divorce

Death

Was he/she ever baptized?

Yes

No

If baptized, in what church or denomination?

Did he/she practice their religion faithfully?

Yes

No

Was this marriage witness by a:

Give particulars

Was this marriage formally annulled by the Roman Catholic Church?

Yes

No

About spouse's or fiance's prior marriage(s)

To whom

Denomination

Marriage ended by

Divorce

Death

Was he/she ever baptized?

Yes

No

If baptized, in what church or denomination?

Did he/she practice their religion faithfully?

Yes

No

Was this marriage witness by a:

Give particulars

Was this marriage formally annulled by the Roman Catholic Church?

Yes

No

List all other prior marriages for both you and your spouse

About your prior Marriage(s)

To whom

Denomination

Marriage ended by

Divorce

Death

Was he/she ever baptized?

Yes

No

If baptized, in what church or denomination?

Did he/she practice their religion faithfully?

Yes

No

Was this marriage witness by a:

Give particulars

Was this marriage formally annulled by the Roman Catholic Church?

Yes

No

Section Break

To whom

Denomination

Marriage ended by

Divorce

Death

Was he/she ever baptized?

Yes

No

If baptized, in what church or denomination?

Did he/she practice their religion faithfully?

Yes

No

Was this marriage witness by a:

Give particulars

Was this marriage formally annulled by the Roman Catholic Church?

Yes

No

About spouse's or fiance's prior marriage(s)

To whom

Denomination

Marriage ended by

Divorce

Death

Was he/she ever baptized?

Yes

No

If baptized, in what church or denomination?

Did he/she practice their religion faithfully?

Yes

No

Was this marriage witness by a:

Give particulars

Was this marriage formally annulled by the Roman Catholic Church?

Yes

No

Section Break

To whom

Denomination

Marriage ended by

Divorce

Death

Was he/she ever baptized?

Yes

No

If baptized, in what church or denomination?

Did he/she practice their religion faithfully?

Yes

No

Was this marriage witness by a:

Give particulars

Was this marriage formally annulled by the Roman Catholic Church?

Yes

No

Children and Dependents

Name

First Last

Date of Birth

MM slash DD slash YYYY

Baptized?

Yes

No

Denomination?

Section Break

Name

First Last

Date of Birth

MM slash DD slash YYYY

Baptized?

Yes

No

Denomination?

Section Break

Name

First Last

Date of Birth

MM slash DD slash YYYY

Baptized?

Yes

No

Denomination?

Section Break

Name

First Last

Date of Birth

MM slash DD slash YYYY

Baptized?

Yes

No

Denomination?

Section Break

Name

First Last

Date of Birth

MM slash DD slash YYYY

Baptized?

Yes

No

Denomination?

Section Break

Name

First Last

Date of Birth

MM slash DD slash YYYY

Baptized?

Yes

No

Denomination?

Section Break

Name

First Last

Date of Birth

MM slash DD slash YYYY

Baptized?

Yes

No

Denomination?

Other Information

When and how did you first become interesed in the Catholic Church?(Required)

Is there anything else you would like us to know or think we should be aware of?

Comments or questions you might have?

Phone

This field is for validation purposes and should be left unchanged.

Invigorated by our faith and dedication, Saint John is a Catholic church that lives our vision: To Know, To Love, and To Serve God in His Church and Our Community. We welcome the entire community to come and actively hear, pray and live the beauty, goodness and truth of the Gospel.

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Contact

625 111th Ave N, Naples, FL 34108 Phone: (239) 566-8740 info@sjecc.com

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