Street Address Line 2
State / Province
Postal / Zip Code
*FOR THOSE RECEIVING SACRAMENTS, PLEASE COMPLETE THE SECTION BELOW:
Have you been baptized in another faith?
If you answered "Yes," what denomination?
Have you been baptized Catholic?
If you answered "Yes," where were you baptized?
Name of Church / City, State
Sacraments previously received:
1st Holy Communion
Are you married?
If "Yes," was it by a Catholic Priest in a Catholic Church?
Have you or your spouse been married before, civilly, by the law, or religiously?
Should be Empty:
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