RCIA

Saint Joseph Catholic Parish

RCIA Registration
Today's Date

MonthDay Year
Date
Name
Middle
Last
Maiden Name (if applicable)
Date of Birth

MonthDay Year
Date
Age
Place of Birth
Name of Father
Name of Mother (include Maiden name)
CONTACT INFORMATION
Mailing Address
City
State
Zip Code
Best Phone number(s) to reach you at
Email
example@example.com
FAMILY INFORMATION
List the name(s) of any children or other dependents
Relationship
Name
Age
Relationship
Name
Age
Relationship
Name
Age
Relationship
Name
Age
Relationship
Name
Age
Relationship
Name
Age
RELIGIOUS HISTORY
What is your present religious affiliation?
Have you ever been baptized?

YesNoI am not sure
If you answered “Yes”, please provide the following information:
In what denomination were you baptized?
Date or your approximate age when you were baptized

MonthDay Year
Date
Baptismal name (if different from current name)
Place of Baptism (name of church/denomination)
Address (if known)
If you were baptized as a Catholic, check those sacraments you have already received

Penance (Confession)Eucharist (First Communion)Confirmation
MARITAL STATUS
Please check the appropriate statement(s) below and provide any information requested beneath each statement.

I am engaged to be married.
Your Fiancé's Name
Your Fiancé's Current Religious Affiliation
Please check appropriate answer for yourself

this is my first marriageI have been married before
If married previously:

divorcedwidow/widower
Your fiance

this is my fiance's first marriageMy fiance has been married before
If your finance has been married previously:

Divorcedwidow/widower
I am married
Your Spouse’s Name
Your Spouse’s Current Religious Affiliation
Date of Marriage

MonthDay Year
Date
Place of Marriage
Officiating Authority of Marriage
(Civil government, non-Christian minister, Christian minister, Catholic Clergy)
About you

This is my first marriageI have been married before
If previously married

DivorcedWidow/Widower
About your spouse

This is my spouse's first marriageMy spouse has been married before
If you spouse has been married previously:

DivorcedWidow/Widower
I have never been marriedI am divorced and have not remarried.
Should be Empty:

Saint Joseph Catholic Parish

CONTACT INFORMATION

FAMILY INFORMATION

RELIGIOUS HISTORY

MARITAL STATUS