RCIA Registration

We welcome you, as you begin the process of looking at the Roman Catholic Church. We will do all that we can to help you on this Journey of Faith.

The first thing we ask of you is that you complete this questionnaire.
This questionnaire is a useful tool so that we may serve you better and get to know you and your particular situation.

Please answer all questions that apply to you as fully as possible. Your answers will be treated as confidential and will only be seen by the RCIA director..

✜ May God bless you and be with you as you journey with us ✜

* Indicates required field

Legal Name (Including middle name) *

Address (House/Apt #, Street, City, State, Zip) *

Home Phone *

Cell Phone *

Email *

Date of Birth (Month/Day/Year) *

Age *

Place of Birth (City/State) *

Maiden Name (if applicable) *

Full Name of Mother (include maiden name) *

Full Name of Father *

Your Occupation *

Marital Status *

Present Religious Affiliation *

Religious History

Are you Baptized? *

Yes No

If "Yes", date of Baptism (Month/Day/Year) *

Denomination *

Church or Place of Baptism *

City / State of Baptism *

Name of Godparents *

Do you have access to a Baptismal certificate? *

Yes No

Name of Sponsor for RCIA and Confirmation *

General Questions

What or who has led you to want to know more about the Roman Catholic Faith? *

What are some of the questions or concerns you have about the Roman Catholic Church? *

Please describe the amounts and types of religious studies you have had an opportunity to take part in, either as an adult or as a child. *

What contact have you had with the Roman Catholic Church to date? *

Other Comments *

Submit

Religious History

General Questions

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