Please fill out the following form. You may also download a PDF for printing, and fill it out for mailing to the office at your convenience (see address above). If you have any questions, please call us at 503-244-1037. Thank you!

First Name:	Last:
Address:
City:	State: Zip:
Home Phone:
Email:
Occupation:
Employer:
Work Phone:	Extension:
Date of Birth:	Place:
Baptism Date:	City:State:
Church of Baptism:
Denomination:
Marital Status:	Married Separated Divorced Single Widowed
Spouse Name:	Religion:
Please Choose:	I think I might want to become Catholic I definitely want to become Catholic I am Catholic but need instruction in the faith I want to be a sponsor
Describe your religious background:
Who or what is urging you to come at this time?