Registration Form Adult Sac. Prep.

Adult Sacramental Preparation Registration
Today's Date*

MonthDayYear
Date
Name: (first, middle, and last name)*
Address*

Mailing address

Street Address Line 2

CityState / Province

Zip
Email address*
example@example.com
Telephone: (Home)
Telephone: (Cell)
Can you receive texts?*

YesNo
Date of Birth*

MonthDayYear
Date
Place of Birth*
Your Gender*

MaleFemale
Catholic Sacraments you have already received

BaptismEucharistConfirmationHoly Matrimony
Catholic Sacraments you want to prepare to receive*

BaptismEucharistConfirmationHoly Matrimony
Name of Catholic Church where you were baptized
City, State & Country of baptismal Church
Please Note: You must have a new copy of your Baptismal Certificate issued from your Baptismal parish with notations within 6 months of your Confirmation.
Marital Status (check all that apply)*

SingleMarriedDivorcedSeparatedRemarriedWidowed
If you are currently living with someone in an adult partnership relationship, please check one of the following

We are not currently marriedWe were married outside the Catholic Church (civilly/legally or in another faith tradition)We were married in the Catholic Church by a Catholic priest or deacon
(If you are not in a valid Catholic marriage, please contact the parish office for information on Marriage Preparation as soon as possible)
Your Father's Name
Your Mother's Name (please include maiden name)*
Name of your spouse or fiancé
If you entered a name on the field above, was this your...

SpouseFiancé
Do you have children?*

YesNo
Name of your Sponsor (if you are preparing for Confirmation):
Only One Sponsor is allowed for the Confirmation Rite
Is your sponsor a practicing Catholic, has all of his or her Sacraments and either married in the Catholic Church or single?

YesNo
My current Mass attendance*

dailyweeklybi-weeklymonthlyfew times a yearrarely
Have you ever attended Catholic School?*

YesNo
Number of Years in Catholic School
Have you ever attended Faith Formation, CCE or CCD Education*

YesNo
Number of Years in Faith Formation, CCE or CCD:
Your home parish*

Sacred Heart of Jesus, Manvelor Other
Reason for your interest in Adult Sacramental Preparation classes*
Language of the class that you want to take:*

EnglishSpanish
Language that you speak:*

EnglishSpanishBilingual (English and Spanish)
Should be Empty: