RCIA Sign-up Form

Rite of Christian Initiation of Adults

(RCIA)Sign-up Form
Your Full Name *

First Name Middle Name Last Name
Maiden Name (if married)
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Phone Number *

Country Code Area Code Phone Number
Email Address *

Confirmation Email example@example.com
Date of Birth *

Month Day Year
City of Birth *
Baptism
Have you been baptized?

Yes No
What is the name of the denomination where you were baptized?
At what location were you baptized?
Date (if known)

Month Day Year
Date
Have you received any other sacraments int he Catholic Church or another church?
If yes please list the date(s)and place(s)
Marriage
Are you Married?

Yes No
Spouses Full Name

First Name Middle Name Last Name
Maiden Name (if applicable)
Location of Marriage (if known)

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Date of Marriage

Month Day Year
Date
Does the Church recognize your marriage?

Yes No Unsure
Have you had any previous marriages?

Yes No
Location of Previous Marriage (if known)

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Date of Previous Marriage

Month Day Year
Date
Have you ever obtained a Declaration of Nullity (Annulment)

Yes No
Has your spouse had any previous marriages?

Yes No
If Single
Are you engaged or planning to get married soon?

Yes No
Are you cohabiting with a significant other?

Yes No
Family Information
Father's Full Name

First Name Middle Name Last Name
Father's Religion
Does he currently practice?
Mother's Full Name

First Name Middle Name Last Name
(Maiden)
Mother's Religion
Does she currently practice?

Children

	Name	Age	Baptized? (Religion)	Becoming Catholic?
Child 1
Child 2
Child 3
Child 4

Godparent/Sponsor Requirements

Must be a Catholic who is fully initiated (Baptism, Confirmation, & First Communion)

Must be at least 16 years old

Must be practicing and living out their faith, someone who is a role model of the faith

Should be someone you can have an ongoing relationship with for the rest of your life (but preferably not a spouse or significant other)

-The parish is able to provide a godparent or sponsor if you are unsure of who to select
Should be Empty:

Now create your own Jotform - It's free! Create your own Jotform

Rite of Christian Initiation of Adults

Baptism

Marriage

If Single

Family Information