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Online OCIA Inquirers Form

- Formation

Registration for the OCIA
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- Which Church do you attend? St Henry St Joseph the Worker St Therese
- First Name: REQUIRED Please fill out this field. Please enter valid data.
- Middle Name: REQUIRED Please fill out this field. Please enter valid data.
- Last Name: 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. Please enter valid data.
- Zip REQUIRED Please fill out this field. Please enter valid data.
- Date of Birth: REQUIRED Please fill out this field. Please enter valid data.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Place of Birth (City) REQUIRED Please fill out this field. Please enter valid data.
- Place of Birth (State) REQUIRED Please fill out this field. Please enter valid data.
- Place of Birth (Country) 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.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Marital Status REQUIRED Please fill out this field. Please enter valid data.
- Have you Been Divorced? REQUIRED Please fill out this field. Please enter valid data.
- Your Father's Name: REQUIRED Please fill out this field. Please enter valid data.
- Your Mother's Name: REQUIRED Please fill out this field. Please enter valid data.
- Your Mother's Maiden Name: REQUIRED Please fill out this field. Please enter valid data.
- Have You Been Baptized? REQUIRED Please fill out this field. Please enter valid data.
- Your Date of Baptism (Month/Day/Year): REQUIRED Please fill out this field. Please enter valid data.
- Your Place of Baptism (Church Name, City and State: REQUIRED Please fill out this field. Please enter valid data.
- Potential Sponsors Name REQUIRED Please fill out this field. Please enter valid data.
- Todays Date REQUIRED Please fill out this field. Please enter a date.
- Sacraments I would like to receive REQUIRED
  Select all the Sacraments that you need.
  Baptism Confirnation First Holy Communion Please fill out this field.
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St. Henry Catholic Church

Gresham, Oregon

Online OCIA Inquirers Form

Registration for the OCIA