Use this form to request Sacraments | Apostolic Old Catholic Mission

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SECTION 1 — Eligibility & Non-Negotiables

I understand the Mission does not pay stipends/salaries to clergy. *

to you’d &

I understand that I may be asked to contribute to any costs involved (e.g. travel and other expenses.) *

SECTION 2 — About You

Name *

First

Last

Preferred title *

Email *

Confirm Email

Mobile/WhatsApp

Please note that we use WhatsApp or Viber only.

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Current denomination/church affiliation (this is for our information only.) *

Roman Catholic
Anglican / Episcopal
Apostolic (African Initiated / Pentecostal Apostolic)
Baptist
Lutheran
Methodist
Non-denominational / Independent
Old/Independant Catholic
Orthodox (Eastern / Oriental)
Pentecostal / Charismatic
Not Christian (Buddhist, Hindu, Muslim, etc.)
Other
None
Prefer not to say

Which Sacraments do you wish to receive: *

Baptism (You)
Baptism (Your Child)
Baptism (Your Family Member)
Confirmation (You)
Confirmation (Your Child)
Confirmation (Your Family Member)
Eucharist (You)
Eucharist (Your Family)
Reconciliation (You)
Reconciliation (Your Family)
Anointing of the Sick (You)
Anointing of the Sick (Your Family Member)
Marriage

Please choose any/all that apply.

SECTION 4 — Contact Preferences & Consent

Preferred contact method *

Email
WhatsApp/Viber
Zoom

Please choose any/all that apply. (If you select Zoom, we will provide you with a link to choose a time that is convenient for an online meeting.)

Anything else you’d like us to know?

Signature (type your full name) *

DECLARATION: By adding my signature here: I declare the information provided is true to the best of my knowledge. I consent to the Apostolic Old Catholic Mission storing and reviewing my information for discernment purposes and to being contacted about next steps. I understand that this request does not constitute acceptance to provide the sacraments requested, by the Apostolic Old Catholic Mission.

Date *