RCIA Sign-up Form

Rite of Christian Initiation of Adults

(RCIA) Sign-up Form
Your Full Name*

First NameMiddle NameLast Name
Maiden Name (if married)
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*

Country CodeArea CodePhone Number
Email Address*

Confirmation Emailexample@example.com
Date of Birth*

MonthDayYear
City of Birth*
Baptism
Have you been baptized?*

YesNo
What is the name of the denomination where you were baptized? *
At what location were you baptized? *
Date (if known)*

MonthDayYear
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?

YesNo
Spouses Full Name

First NameMiddle NameLast Name
Maiden Name (if applicable)
Location of Marriage (if known)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date of Marriage

MonthDayYear
Date
Does the Church recognize your marriage?

YesNoUnsure
Have you had any previous marriages?

YesNo
Location of Previous Marriage (if known)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date of Previous Marriage

MonthDayYear
Date
Have you ever obtained a Declaration of Nullity (Annulment)

YesNo
Has your spouse had any previous marriages?

YesNo
If Single
Are you engaged or planning to get married soon?

YesNo
Are you cohabiting with a significant other?

YesNo
Family Information
Father's Full Name

First NameMiddle NameLast Name
Father's Religion
Does he currently practice?
Mother's Full Name

First NameMiddle NameLast 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
I understand the requirements for a sponsor and I...

Have someone who will sponsor me.Need a sponsor from the parish.Am not sure about who a good sponsor would be.
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Rite of Christian Initiation of Adults

Baptism

Marriage

If Single

Family Information