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OCIA for Youth Registration

- Sacraments
  - Sacraments of Initiation
    
    Baptism
    Confirmation
    Eucharist
  - Sacraments of Healing
    
    Anointing of the Sick
    Reconciliation
  - Sacraments of Service
    
    Holy Orders
    Marriage
  - Becoming Catholic
    
    Become a Catholic
    OCIA Registration
    OCIA for Youth Registration
    
    OCIA Calendar

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- Thank you for registering your child or teenager for OCIA for Youth. If you have any questions as you complete the form below, please email or call Jess Petrie at [email protected] or 260 432-0268, x107.
  Thank you.
- Full Legal Name of child or teen REQUIRED Please fill out this field. Please enter valid data.
- Parent's Email REQUIRED Please fill out this field. Please enter an email address.
- Parent's Phone Number REQUIRED
  
  Please fill out this field. Please enter a phone number.
- 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.
- Date of Birth of the child or teen REQUIRED
  MM/DD/YYYY
  Please fill out this field. Please enter a date.
- City and State of Birth of the child or teen REQUIRED Please fill out this field. Please enter valid data.
- Has the child or teen been baptized? REQUIRED Yes No Please fill out this field.
- If so, in what Christian faith or denomination? Please enter valid data.
- If so, in what church, city, and state was the child or teen baptized? Please enter valid data.
- What is the current grade of the child or teen? REQUIRED Please fill out this field. Please enter an integer (number).
- What school does the child or teen currently attend? REQUIRED Please fill out this field. Please enter valid data.
- Father's Full Legal Name REQUIRED Please fill out this field. Please enter valid data.
- Father's Religion REQUIRED Please fill out this field. Please enter valid data.
- Mother's Full Legal 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.
- Mother's Religion REQUIRED Please fill out this field. Please enter valid data.
- Do you have any initial questions about OCIA for Youth? Please enter valid data.
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