RCIA & Adult Sacramental Formation

1

I am a registered member at Santa Cruz

YESNO

2

If not, we do ask that you become a member of our parish at Santa Cruz. Please complete the online form.

Registration is not complete if this form is not submitted.

3

Participant Name* This field is required.

First Name

Middle Name

Last Name

Suffix

4

Participant Address* This field is required.

Street Address

City

Zip Code

Country

5

Date of Birth* This field is required.

Date

6

Place of Birth* This field is required.

City

State / Province

Country

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Participant Phone Number555 555-5555

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Participant Email

example@example.com

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What, if any, is your present religious affiliation?* This field is required.Catholic, Baptist, Methodist, Christian etc...

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Have you been baptized?* This field is required.

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In what denomination were you baptized?* This field is required.Catholic, Baptist, Methodist, Christian etc...

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If you were baptized as a Catholic, check those sacraments you have already received.

Eucharist (First Holy Communion)

Confirmation

Holy Matrimony

NO SACRAMENTS

13

My Marital Status is:

Single: Not living with someone or living with a family member

Single: living with someone (not a family member)

Married: Civil (JP)

Married: Catholic Church

Divorced without annulment

Divorced with annulment

14

Your Fiancé's Information?

Complete

Fiancé's Name

Religious Affiliation

For YOU - This is my first marriage (Yes or No)

For YOU - I have been MARRIED before (Yes or No)

If yes, how many times?

FOR YOU - I have applied for an annulment from the Catholic Church? (Yes or No)

FOR YOU - I have been granted an annulment from the Catholic Church? (Yes or No)

For your FIANCE, This will be his/her first marriage?

For your FIANCE - has been MARRIED before (Yes or No)

If yes, how many times?

My fiancé is currently living with me (Yes or No)

Has your spouse applied for an annulment from the Catholic Church? (Yes or No)

Has your spouse been granted an annulment from the Catholic Church? (Yes or No)

Fiancé's Name

Religious Affiliation

For YOU - This is my first marriage (Yes or No)

For YOU - I have been MARRIED before (Yes or No)

If yes, how many times?

FOR YOU - I have applied for an annulment from the Catholic Church? (Yes or No)

FOR YOU - I have been granted an annulment from the Catholic Church? (Yes or No)

For your FIANCE, This will be his/her first marriage?

For your FIANCE - has been MARRIED before (Yes or No)

If yes, how many times?

My fiancé is currently living with me (Yes or No)

Has your spouse applied for an annulment from the Catholic Church? (Yes or No)

Has your spouse been granted an annulment from the Catholic Church? (Yes or No)

Complete

15

Your Spouse's InformationPlease complete the following information regarding your spouse

Complete

We are married in a CATHOLIC CHURCH (Yes or NO)

We are married in a NON-CATHOLIC CHURCH (Yes or NO)

We are married CIVILLY BY THE JP (Yes or NO)

Spouse's Name

Spouse's Religious Affiliation

For YOU - This is my first marriage (Yes or No)

For YOU - I have been MARRIED before (Yes or No)

If yes, how many times?

FOR YOU - I have applied for an annulment from the Catholic Church? (Yes or No)

FOR YOU - I have been granted an annulment from the Catholic Church? (Yes or No)

For your SPOUSE, This will be his/her first marriage? (Yes or No)

For your SPOUSE - I have been MARRIED before (Yes or No)

If yes, how many times?

Has your spouse applied for an annulment from the Catholic Church? (Yes or No)

Has your spouse been granted an annulment from the Catholic Church? (Yes or No)

We are married in a CATHOLIC CHURCH (Yes or NO)

We are married in a NON-CATHOLIC CHURCH (Yes or NO)

We are married CIVILLY BY THE JP (Yes or NO)

Spouse's Name

Spouse's Religious Affiliation

For YOU - This is my first marriage (Yes or No)

For YOU - I have been MARRIED before (Yes or No)

If yes, how many times?

FOR YOU - I have applied for an annulment from the Catholic Church? (Yes or No)

FOR YOU - I have been granted an annulment from the Catholic Church? (Yes or No)

For your SPOUSE, This will be his/her first marriage? (Yes or No)

For your SPOUSE - I have been MARRIED before (Yes or No)

If yes, how many times?

Has your spouse applied for an annulment from the Catholic Church? (Yes or No)

Has your spouse been granted an annulment from the Catholic Church? (Yes or No)

Complete

16

If your partner/spouse/fiancé is Catholic what sacraments have they received?

Baptism

First Holy Communion

Confirmation

Holy Matrimony

NO SACRAMENTS

17

If you are married, what is your wedding dateIf applicable

Date

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Sacramental Certificates

Please upload the following:

Not Baptized:
Birth Certificate
Baptized in another denomination:
Baptismal and Birth Certificates
First Communion and/or Confirmation:
Request a new with certificate with notations from your baptismal church
Dated within 60 days of registration.

Certificates are needed even if they celebrated their baptism and/or first communion at Santa Cruz.

Questions regarding lost certificates please contact the Religious Education Office at (512) 295-1163 or reoffice@santacruzcc.org.

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Upload Certificate(s).pdf files

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

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Consent to Participate in Activity,
Emergency Medical Information and Release

A. Participant acknowledges and agrees that:
(1) Participant voluntarily seeks to participate in the Event;
(2) the Event may involve physical activity that involves risk of injury;
(3) Participant will abide by all policies and rules established for Event and instructions of those persons facilitating, organizing, or overseeing the Event;
(4) Participant is responsible for Participant’s conduct during the Event and is responsible for any damages, claims, or other costs caused by Participant or incurred as a result Participant’s conduct; and
(5) if Participant’s conduct is inappropriate, unsafe, or detrimental to the Event, other participants or other persons, Parish/School or the Diocese may be terminate Participant’s participation in the Event and future events.
B. In the event of an emergency or a situation that is reasonably considered to be an emergency, Participant authorizes the Parish/School and the Diocese to seek and authorize emergency medical care to be given to Participant (for example, First Aid, medication, anesthesia, or surgery). The Parish/School will make reasonable attempts to notify persons listed as emergency contacts on this form prior to authorizing any such emergency care.
C. Participant grants Parish/School and the Diocese permission:
(1) to photograph and videotape Participant during the Event; and
(2) to use the photographs and videotapes in publications and promotions of the Parish/School and the Diocese, including but not limited to publications such as websites, newsletters, advertisements, scrapbooks, and yearbooks.
D. To the extent permitted by law, Participant, releases and agrees to indemnify and hold harmless the Parish/School, the Diocese, and the Transportation Provider from any and all liability, claims, demands, and costs which may arise as a result of Participant’s participation in the Event or which is, in any way, related to such participation. This paragraph covers loss under any theory of loss (negligence or otherwise) including but not limited to personal injury or property damage. Participant assumes all risk of injury or loss for bodily injury or property damage.

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I have reviewed the policies of the Diocese of Austin and Santa Cruz Religious Education Office. I agree to participate in the Santa Cruz Religious Education Formation.* This field is required.Please sign that you have completed this form to the best of your knowledge.

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