Information Form:
Welcome! The Rite of Christian Initiation of Adults is the process by which non baptized individuals come into the Catholic Faith. If you are already baptized and in need of receiving the sacraments of Eucharist and Confirmation, that also can be arranged.
Full Name
*
First Name
Middle Name
Last Name
Address:
Phone Number
*
Format: (000) 000-0000.
E-mail
*
example@example.com
Date of Birth
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Place of Birth
*
City & State
Are you Baptized?
YES
NO
Date of Baptism
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Name of Church
Street Address
Street Address Line 2
Name
City / State
Postal / Zip Code
Marital Status:
Never Married
Divorced & Single
Widowed
Divorverd & Remarried
Married once & Currently living with spouse
Date of Wedding
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Place of Wedding:
City & State
Name of Church
Spouse's Name
First Name
Middle Name
Last Name
Was your spouse married prior to this marriage?
YES
NO
Do you have children?
*
YES
NO
Children's Names and Birthdates:
Child's name:
Date of Birth
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Child's name:
Date of Birth
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Child's name:
Date of Birth
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Child's name:
Date of Birth
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Describe your previous religious education:
*
What are your reasons for attending these sessions? Seeking:
*
Baptism
Confirmation
Eucharist
Inquiring
Other
Do you have a Sponsor at this time?
YES
NO
Name of Sponsor:
AFTER SUBMITTING YOU WILL BE TAKEN TO OUR SECURE ONLINE PAYMENT PAGE. THANK YOU!
Submit
Should be Empty: