OCIA Signup

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.

What name do you want to be called Please enter valid data.

Email REQUIRED Please fill out this field. Please enter an email address.

Primary Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Occupation Please enter valid data.

Work/daytime Phone Number Please enter a phone number.

Street Address REQUIRED Please fill out this field. 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.

Sacraments you have received

What is your current religion REQUIRED Please fill out this field. Please enter valid data.

What Parish are you currently attending REQUIRED St. John the Baptist St. David of Wales St. Cornelius Other None Please fill out this field.

Parental Information

Marital staus

General information

Why are you interested in learning about or joining the Catholic Church at this time?
How did you hear about the adult faith formation program?
How much formal religious education have you had?