OCIA Registration Form

Confidential Information

1General Information > 2Personal Information > 3Personal Religious/Spiritual Information > 4Marital Information > 5Misc Information
Today's Date Today's Date / MM / DD YYYY
What is your interest in the Catholic Church at this time?

What is your interest in the Catholic Church at this time? I'm just looking; not sure at this time I want to have an active relationship with God through a Church community I think I might want to become a Catholic I would like to join the Church because my spouse/fiancee is Catholic I definitely would like to become a Catholic I don't want to join; just want to know what Catholics' believe I'm Catholic, but have had little or no contact with the Church Other Other
Name Name First Last
Middle Name
Maiden Name (if applicable)
Email
Best Phone number for you Best Phone number for you - ### - ### ####
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country