OCIA Registration

Full Name (As it appears on the birth certificate) REQUIRED Please fill out this field. Please enter valid data.

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.

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

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

Your Birthdate REQUIRED Please fill out this field. Please enter valid data.

Place of Birth REQUIRED Please fill out this field. Please enter valid data.

Have you been baptized? REQUIRED Yes No Please fill out this field.

Date of Baptism

MM/DD/YYYY

Please enter valid data.

Church of Baptism Please enter valid data.

Church Address Please enter valid data.

City Please enter valid data.

State

Zip Please enter a zip code.

Please provide a copy of the Baptism certificate unless baptized at St. Joseph Parish.

Current Marital Status REQUIRED Single/Never Married Civil Married Divorced/Separated Divorced & Remarried Catholic Church Married Church Married Widowed Please fill out this field.

If married, name of church Please enter valid data.

If married, does your spouse have any previous marriages? Yes No

Status of spouse's previous marriage Annulment Divorced Spouse Deceased

Your Mother's Full Name (plus maiden name) REQUIRED Please fill out this field. Please enter valid data.

Father's Full Name REQUIRED Please fill out this field. Please enter valid data.

Okay to complete this part later:

A godparent and/or sponsor must be at least 16 years old, baptized, confirmed and a practicing Catholic. Spouses cannot serve as godparent/sponsors. One godparent is necessary for baptism; one sponsor is necessary for confirmation (sponsor may also be the godparent). Please provide a copy of your Godparent/Sponsor's confirmation certificate or other form of verification of confirmation.

Your Godparent and/or Sponsor Please enter valid data.

Your Patron Saint for Confirmation Please enter valid data.

Estimated number attending Easter Vigil Mass (including candidate) Please enter an integer (number).

Questions? Contact Gina McCauley, Director of Faith Formation, St. Joseph Parish, Otis Orchards 509-926-7133, [email protected]

Office Use Only (Please don't complete this section)

Catechumen or Candidate? Please enter valid data.
Confirmandi Please enter valid data.
Eucharist? Please enter valid data.
Confirmation? Please enter valid data.
Documents Received Baptismal Certificate Profession of Faith Godparent/Sponsor Confirmation Verification Other
Notes

St. Joseph Catholic Parish

4521 Arden Road, Otis Orchards, WA 99027
Phone: 509-926-7133

OCIA Registration