OCIA Registration

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Candidate Information
Full Name 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.
Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
Wok Phone Number REQUIRED Please fill out this field. Please enter valid data.
Baptismal Information
Have you ever been baptized? REQUIRED YES NO Please fill out this field.
Church of Baptism REQUIRED Please fill out this field. Please enter valid data.
City / State REQUIRED Please fill out this field. Please enter valid data.
Church Denomination REQUIRED Please fill out this field. Please enter valid data.
Date of Baptism REQUIRED Please fill out this field. Please enter valid data.
Parents Information
Father's Full Name REQUIRED Please fill out this field. Please enter valid data.
Mother's Full Name (Maiden Name) REQUIRED Please fill out this field. Please enter valid data.
Family
Spouse Full Name (Maiden Name if Wife) Please enter valid data.
Date of Marriage REQUIRED Please fill out this field. Please enter valid data.
Place of Marriage (Name of Church / City /State REQUIRED Please fill out this field. Please enter valid data.
Of the Following, please check those which apply to you: REQUIRED I have never been Married I am a Widowed I am Divorced I am Engaged Please fill out this field.
I am Married REQUIRED Civilly In the Catholic Church N/A Please fill out this field.
I am Divorced and Remarried REQUIRED Was Married Civilly Was Married in the Catholic Church N/A Please fill out this field.
Of the Following, please check those which apply to you:
Check those which apply to you: REQUIRED At this time, I am seeking to become Catholic. At this time, I am interested in learning about the Catholic Church but am not sure if I want to be Catholic. I am a Baptized Catholic seeking First Communion and Confirmation. I am a Baptized Catholic seeking Confirmation. I am attending simply to learn more about the Catholic Faith. Please fill out this field.
Please List the Name and age of any Children you have. (Full Name, DOB, School Grade) REQUIRED Please fill out this field.
For those seeking the Sacraments of Initiation into the Catholic Faith
Sponsor's Name (Must be Confirmed & Practicing Catholic at least 16 years old.) REQUIRED Please fill out this field. Please enter valid data.
Address REQUIRED Please fill out this field. Please enter valid data.
Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
Confirmation Name REQUIRED Please fill out this field. Please enter valid data.

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Our Lady of Guadalupe Catholic Parish

Serving the worship communities of:
Sioux Center, Rock Valley, Hawarden, & Akron Iowa

OCIA Registration