Rite of Christian Initiation for Adults

Please complete this form to the best of your ability. Once you submit it, you will be enrolled in the RCIA classes. We begin on September 6th at 7PM in the Parish Hall.

Family Information

Name

First Name*

Last Name*

Address

Street 1*

Street 2

City*

State*

Zip*

Home Phone

Required* --

Cell Phone

E-mail

Date of Birth

Required* //

Place of Birth

Street 1*

Street 2

City*

State*

Zip*

Only City and State information is needed

Father's Name

First Name*

Last Name*

Mother's First Name and Maiden Name

First Name*

Last Name*

Were you baptized?
Required*

Yes

Year of baptism

If you were baptized, what was the religious denomination?

If you were baptized Catholic, have you received the following:

First Communion?

Yes

Confirmation?

Yes

If you were never baptized, you will need a Godparent (Catholic Sponsor):

Name of Godparent

First Name

Last Name

If you were baptized in a non-Catholic Church, you will need a Catholic Sponsor:

Name of Sponsor

First Name

Last Name

Are you:

Is this your first marriage?

Yes

If No, a further interview will be set up by a Priest.

Is this your spouse's first marriage?

Yes

If your spouse is a Catholic, were you married by a Catholic Priest?

Yes

If No, a further interview will be set up by a Priest.

Do you have children?

Yes

Do you have an expectation they will also become Catholic?

Yes

If Yes, a further interview will be set up by a Priest.

If you wish to provide any other personal information or if there are any comments you wish to make, please feel free to do so.