2025 OCIA Registration Form

First, Middle and Last name as it appears on your birth certificate

Male/Female

Male Female

Date of Birth

Place of Birth

Home address

Preferred phone #

Are you able to receive Texts?

Yes? No?

This address will receive a confirmation email

If Baptized in another Christian faith or denomination, please tell us the place and date of Baptism.

If you are Baptized Catholic but were NOT Baptized at Our Lady of Grace, please let us know which parish you were baptized at and also the Month & Year of Sacrament

Current Marital Status

Single, never married Married in the Catholic church Married civilly or in another faith Married, separated from my spouse Divorced Unmarried/Cohabitating Engaged to be married in the Catholic Church.

Fiance's name, if engaged

Please provide the names of both parents below. Include the maiden name of your mother.

Father's Name

Father's religion

Mother's Name -please include maiden name

Mother's religion

Emergency Contact:

Emergency Contact Name:

Emergency Contact Number:

Relationship to Student:

Sacrament Preparation

Are you currently attending Mass on a weekly basis?

No Yes

Please indicate if you attend Mass at Our Lady of Grace or another parish. If another parish, please tell us which parish.

If you are seeking sacraments at Our Lady of Grace instead of a home parish please let us know why.

Sacraments this student already received:

Baptism Reconciliation Communion Confirmation Catholic Marriage

Sacraments Needed:

Baptism Reconciliation Communion Confirmation Marriage

Birth Certificates will be required to receive the sacraments of Baptism and Marriage. If you are beginning your sacrament preparation with Baptism, the only certificate you need to submit is your birth certificate. If any sacrament has already been received, the certificate indicated by the sacrament needed will also be required. Required documents must be submitted by the second class.

Consent and Agreement

By checking

Agree to Hold Harmless

Yes No

By checking "yes" below you give OLGrace and anyone affiliated with the parish permission to photograph you during Religious Education classes or activities & post photos on the parish Facebook, website, bulletin boards and bulletins.

Permission for pictures:

Yes No

By checking "yes" below you are agreeing to provide a copy of needed certificates in a timely manner

Will provide certificates

Yes No

By checking "yes" below you understand that 3 or more absences and/or failure to fulfill sacramental requirements means you will need to repeat sacramental preparation. Make-up sessions are not an option.

Agree to Absence Policy

Yes No

Registration Fee $20.00

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

2025 OCIA Registration Form

Description

Please Fix the Following