Adult Inquiry Registration Form

Adult Inquiry Registration Form

Information on this form is held in confidence and is not shared without your permission.
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email

Confirmation Emailexample@example.com
Phone
Please enter a valid phone number.Format: (000) 000-0000.
Cell Phone
Please enter a valid phone number.Format: (000) 000-0000.
Family Information
Father's Name

First NameLast Name
Mother's MAIDEN Name

First NameMaiden Name
Date of Birth

MonthDayYear
Date
Place of Birth
Include town, city, county, state, and country
Religious History
What, if any, is your present religious affiliation?
Have you ever been baptized?
In what denomination were you baptized?
Date or your approximate age when you were baptized?
Baptismal Name (if different from current name):
Place of Baptism
Name of Church and Denomination
Address, if known:
Location, if known:
Include city, county, state, and country
If you were baptized as a Catholic, check those sacraments you have already received:
Current Marital Status
Check the appropriate statement.
Your fiancee's name

First NameLast Name
Your fiance(e)'s current religious affiliation:
For you:
For your fiance(e):
Your spouse's name

First NameLast Name
Your spouse's current religious affiliation:
For you:
For your spouse:
Date of Marriage

MonthDayYear
Date
Place of Marriage
Include town, city, state, country
Officiating authority of marriage:
Civil government, non-Christian minister, Christian Minister, Catholic cleric
Family Information

List the name(s) of any children or other dependents (e.g. daughter, Jane; stephson-John)
Relationship blanks Name AgeType a label
Relationship blanks Name AgeType a label
Relationship blanks Name AgeType a label
Relationship blanks Name AgeType a label
Relationship blanks Name AgeType a label
Relationship blanks Name AgeType a label
General Questions
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 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 best describes your present feelings and thoughts about the possibility of joining the Catholic Church.

Registration Fee $30

Registration

Books and Supplies

$30.00 Quantity

Total

Credit Card

Should be Empty:

Adult Inquiry Registration Form

Family Information

Religious History

Current Marital Status

Family Information

General Questions

Registration Fee $30*

Credit Card

Registration Fee $30