BECOMING CATHOLIC

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Date of Birth REQUIRED Please fill out this field. Please enter a date.

Place of Birth Please enter valid data.

Name of Father Please enter valid data.

Name of Mother Please enter valid data.

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Present Religion Affiliation Please enter valid data.

Baptism

Have you been baptized? REQUIRED Yes No Not sure Please fill out this field.
In what denomination where you baptized? Please enter valid data.
Age when baptized Please enter valid data.
Baptismal name (if different) Please enter valid data.
Place of Baptism (church/denomination) Please enter valid data.
Address and Location of church Please enter valid data.

If Baptized Catholic, check sacraments you have already received Penance (Confession) Eucharist (First Communion) Confirmation

Current Marital Status Never been married Engaged to be married Married Married but separated from spouse Divorced and not remarried Widow/Widower and not remarried since spouses death

If status is "engaged", answer the following questions:

Fiance Name Please enter valid data.
Fiance current religious affiliation Please enter valid data.
Marital History First Marriage Married Before
Fiance Marital History First Marriage Married before

If status is "married", answer the following questions:

Spouse Name Please enter valid data.
Spouse current religious affiliation Please enter valid data.
Marital History First Marriage Married Before
Spouse Marital History First Marriage Married before
Date of Marriage REQUIRED Please fill out this field. Please enter a date.
Place of Marriage Please enter valid data.
Officiating authority of Marriage Please enter valid data.

Please list the name(s) below of any children or other dependents by relationship, name, and age

Our Lady of Perpetual Help

Chattanooga, Tennessee

BECOMING CATHOLIC

OCIA Adult Inquirer Information Form/ Para formas en español por favor hable a la oficina Parroquial

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