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RCIA

(Rite of Christian Initiation of Adults)
Online Registration Form

 

If you are interested in joining the Catholic Church, please fill out this form. If you would to print this form out and mail it to the Church office, click here.

Note: the printable version is a pdf file and will require Adobe Acrobat Reader

 

Please answer ALL questions with an asterisk (*)

*Full Name:

*Phone Numbers:

*Address:

Home:

 

Work:

Email Address:

Date of Birth:

 

 

City/State of Birth:

Father's Name:

Mother's Name:

*Baptismal Information: Are you baptized? Yes No

If you are baptized, please answer all the following questions completely.
(PLEASE PROVIDE DOCUMENTATION)

1. Date of Baptism:

2. Denomination:

3. Church of Baptism:

4. Place of Baptism (City/State):

*If you were baptized CATHOLIC, have you received the sacraments of:

Penance: Yes    No

Eucharist: Yes No

Confirmation: Yes No

Children living at home:
Name

Age

Baptized

Religion

Yes No

Yes No

Yes No

Have YOU been previously married? Yes    No  

If yes, When? Where?

Has your CURRENT SPOUSE been previously married? Yes    No  

If yes, When? Where?

How did you become interested in the Catholic Church:

 

 
 

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