Child/Teen OCIA Information Form

Full Name (please include middle name) *

Name (please include middle name) *

Religious Affiliation *

Name (please include middle name) *

Religious Affiliation *

Full mailing address *

Child/Teen lives with: *

Parents Mother only Father only other

If other please explain *

If child/teen lives with one parent/guardian, please indicate who has legal custody and/or if the child/teen also lives with a step parent: *

If there is a joint custody arrangement, please provide alternate full address *

Has your child/teen ever been Baptized? *

Yes No I am not sure

In what denomination was your child/teen baptized? *

Date or approximate age when your child/teen was baptized: *

Baptismal name (if different from current name): *

Place of baptism (name of church/denomination): *

Address, if known: *

Location, if known: *

If your child/teen was baptized as a Catholic, check those sacraments he/she has received: *

Eucharist Confirmation

For a teen: Has he/she been married or is he/she currently married? *

Never been married Is currently married Has been married

In what ways do you think your child/teen enjoys learning? *

Listening (lecture; storytelling) Seeing (looking at pictures; identifying symbols; watching a video) Hands On (Does your child/teen enjoy doing projects or making crafts?) Group work (Does your child/teen enjoy working with others?)

At what grade level does your child/teen read? Does your child/teen enjoy reading? *

At what level is your child/teen writing skills? Does your child/teen like to write stories or keep a journal? *

Please describe the types of religious education in which your child/teen has participated. *

What contact has your child/teen had with the Catholic Church to date? *

What are some of the questions or concerns your child/teen has about the Catholic Church? *

Please summarize below the reason(s) your child/teen desires to begin the Christian initiation process. *

Child/Teen OCIA Information Form

I. Parent/Guardian Information

II. Religious History

III. Family Information
List the name(s) of any siblings (e.g. John - Brother; Jean - Stepsister)

IV. Learning Style
Not all people learn in the same way. You can help your child/teen get as much out of this process as possible by sharing about your child/teen's learning abilities.

V. General Questions

Office Hours/Horario

Monday - Thursday/Lunes-Jueves
9:00 a.m. - 12:00 p.m.
1:30 p.m. - 5:00 p.m.

Friday/viernes
9:00 a.m. - 12:00 p.m.
1:30 p.m. - 4:00 p.m.

[email protected]

Child/Teen OCIA Information Form

I. Parent/Guardian Information

II. Religious History

III. Family Information​List the name(s) of any siblings (e.g. John - Brother; Jean - Stepsister)

IV. Learning StyleNot all people learn in the same way. You can help your child/teen get as much out of this process as possible by sharing about your child/teen's learning abilities.

V. General Questions

Office Hours/HorarioMonday - Thursday/Lunes-Jueves9:00 a.m. - 12:00 p.m.1:30 p.m. - 5:00 p.m.Friday/viernes ​9:00 a.m. - 12:00 p.m.​1:30 p.m. - 4:00 p.m.​

[email protected]

III. Family Information
List the name(s) of any siblings (e.g. John - Brother; Jean - Stepsister)

IV. Learning Style
Not all people learn in the same way. You can help your child/teen get as much out of this process as possible by sharing about your child/teen's learning abilities.

Office Hours/Horario

Monday - Thursday/Lunes-Jueves
9:00 a.m. - 12:00 p.m.
1:30 p.m. - 5:00 p.m.

Friday/viernes
9:00 a.m. - 12:00 p.m.
1:30 p.m. - 4:00 p.m.