Christian Initiation of Adult Information and Sacramental Registration Form

Christian Initiation of Adult Information and Sacramental Registration Form

Please fill out as much information on this form as you know. If a question does not apply, you can put an X.
Full Name*

First NameLast Name
Maiden Name (if applicable)
Date of Birth*

MonthDayYear
Date
Place of Birth*
Include locality, region, and country
Father's Name*

First NameLast Name
Mother's Maiden Name*

First NameLast Name
Contact Information
Full Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Occupation
Religious History
What, if any, is your present religious affiliation?*
Is there Eastern Catholic (Byzantine, Polish, Coptic, etc.) in your family background?*

YesNo (not as far as you know)
If yes, how is this person related to you?
Have you ever been baptized?*

YesNoI'm not sure
If you answered yes, please fill out the baptismal information below. We will also need a copy of your baptismal certificate).
Baptismal Information

Please answer as much information as you know about your baptism.
In what denomination were you baptized?
Were you baptized in the name of the Father, Son, and Holy Spirit?

YesNoUnsure
Date or approximate age when you were baptized
Baptism name (if different from current name)

First NameLast Name
Place of Baptism (name of church/denomination)
Officiant (Minister) of Baptism Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Location, if known
Include locality, region, and country
If you were baptized Catholic, check the sacraments you have already received:

Penance (Confession)Eucharist (First Communion)Confirmation
Current Marital Status

Provide as much information as you can in this section.
Have you ever been married in any type of ceremony, religious or secular (civil)?*

YesNo
If your spouse is Catholic, were you married in the Catholic Church or with the Catholic Church's permission? Please share more details here.
Are you engaged to be married?*

YesNo
Are you married?*

YesNo
Are you married, but separated from your spouse?*

YesNo
Are you divorced and have not remarried?*

YesNo
Are you a widow/widower and have not remarried since your spouse's death?*

YesNo
Are you currently living with a romantic partner?*

YesNo
Marital Information

Please fill this section if you are engaged or married.
Your Fiancé(e)/s or Spouse's Name
Your Fiancé(e)/s or Spouse's Current Religious Affiliation (if any)
For You

This is my first marriageI have been married before (religious or civil)
For your Fiancé((e) or Spouse

This is his/her first marriageMy Fiancé(e) or spouse has been married before (religious or civil)
Date of Marriage/Wedding (if married or engaged)

MonthDayYear
Date
Place of Marriage
Include locality, region, and country
Family Information
List the name(s) and ages of any children or other dependents
If you have children, are they baptized? And in what denomination were they baptized?
Have your children received any other sacraments in the Catholic Church?
General Questions
Have you been in Christian Initiation or RCIA in the Catholic Church before this year?*

YesNo
If yes, when and where were you in RCIA? Can you share your experience or what happened?
What or who has led you to want to know more about the Catholic faith?*
Please describe the types of religious education you have received, as a child and/or as an adult.*
What contact have you had with the Catholic Church to date?*
What are some of the questions or concerns you have about the Catholic Church?*
At this point in time, which of the following statements describes your present feelings and thoughts about the possibility of joining the Catholic Church?*

I need much more information about the Catholic Church before I would consider joining.I am considering joining, but I am still unsure about it.I am fairly sure that I would like to join, but I still need some time to study and pray about it.I am fairly sure that I want to join the Catholic Church.
Are you currently going to Mass on a weekly basis?*

YesNo
How often do you typically attend Mass, if you do?
If you attend Sunday Mass at St. Francis Xavier, what Mass do you normally attend now?

4:00 pm (Saturday) at the Historic Church (English)7:30 am at Historic Church (English)9:00 am at Xavier Center (Bilingual, Live Streamed)10:30 am at Historic Church (English)12:00 pm at Xavier Center (Spanish)
Do your children attend the Parish Religious Education Program (PREP) during the school year?*

YesNoNot currently, but I would like to enroll them
Do you have a sponsor in mind, who will sponsor you joining the Catholic Church, or would you like SFX to find you a sponsor?
Please note that if your sponsor is from another parish, they will need a letter from their parish. We can help with that!
Do you have a saint in mind, whose name you would take at your Baptism/Confirmation? (If you don't, we can help with this!)
Should be Empty:

Christian Initiation of Adult Information and Sacramental Registration Form

Contact Information

Religious History

Baptismal Information

Current Marital Status

Marital Information

Family Information

General Questions