RCIA Candidate Record

Name
Address
Phone
Email
example@example.com
Date of Birth

Month Day Year
Date
Place of Birth
Father's Name
Mother's Name (maiden)
Place of Baptism
Date

Month Day Year
Date
Please provide copy of your baptismal certificate

Date of Reception (Confirmation and First Communion)
Date of Reception (Confirmation and First Communion)
Sponsor
Priest
I have never been married
I am married now
I am divorced
I am divorced and have remarried
I am divorced and have not remarried
My spouse has been married only once
My spouse has been married more than once
Should be Empty: