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OCIA Registration

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  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name 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 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.
  
  Date of birth REQUIRED Please fill out this field. Please enter valid data.
  
  City, State of Church of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Marital Status REQUIRED Please fill out this field. Please enter valid data.
  
  Number of Children REQUIRED Please fill out this field. Please enter valid data.
  
  If Divorced, do you have an annulment? Please enter valid data.
  
  What is your current faith? REQUIRED Please fill out this field. Please enter valid data.
  
  Are you Baptized? REQUIRED Please fill out this field. Please enter valid data.
  
  If Baptized, what church? (please give full church address) Please enter valid data.
  
  Have you received your First Communion? If yes, what church? REQUIRED Please fill out this field. Please enter valid data.
  
  Sacriments Needed (Check all that apply) REQUIRED Baptism 1st Communion Confirmation Please fill out this field.
  
  Last Church attended (complete address) REQUIRED Please fill out this field. Please enter valid data.
  
  Confirmation Name Please enter valid data.
  
  Father's Full Name REQUIRED Please fill out this field. Please enter valid data.
  
  Mother's Full Name REQUIRED Please fill out this field. Please enter valid data.
  
  Mother's Maiden Name REQUIRED Please fill out this field. Please enter valid data.
  
  Godparent/Sponsor Full Name REQUIRED Please fill out this field. Please enter valid data.
  
  Godparent/Sponsor Address Please enter valid data.
  
  Godparent/Sponsor phone number Please enter valid data.
  
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St Benedict of Waterford

Waterford, MI

OCIA Registration