Registration for Introduction to Catholicism
2024-2025
Legal Name:
*
Legal First Name
Middle Name
Last Name
Maiden Name (If Married)
Preferred Name (If different from Legal Name)
Nickname
Address:
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number:
*
Please enter a valid phone number.
Email:
*
example@example.com
Date of Birth:
*
-
Month
-
Day
Year
Date
Place of Birth:
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Please select the category which best describes your present situation - Part A:
*
Not baptized, but wish to be baptized and become a Catholic this coming Easter
Baptized in a Catholic church, but never received Confirmation
Baptized in a non-Catholic church and wish to be received into full communion with the Catholic Church this coming Easter
Curious about the Catholic faith, but not yet sure I wish to become Catholic
Please select the category which best describes your present situation - Part B:
Adult (Over 18 years old; not in school)
Currently attending Furman University
Currently attending Saint Joseph's High School
Other
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Father's Name:
*
First Name
Middle Name
Last Name
Mother's Name:
*
First Name
Middle Name
Last Name
Mother's Maiden Name
*
Have you ever been baptized?
*
Yes
No
If so, name of church:
Location of church of Baptism:
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Date of Baptism:
-
Month
-
Day
Year
Date
Denomination:
If baptized in a Catholic Church, did you receive First Holy Communion?
Yes
No
If so, name of church:
Location of church of First Communion:
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Date of First Communion:
-
Month
-
Day
Year
Date
Did you ever receive Confirmation in a Catholic church?
Yes
No
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Marital status: *Please check ALL that apply*
*
Married
Never married
Engaged
Divorced
Divorced & remarried
Widowed & single
Widowed & remarried
Name of fiancé/fiancée
Name of church where you were married:
Wedding church location:
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Wedding church denomination:
Have you ever been divorced?
*
Yes
No
Currently in the process of a divorce
If divorced, how many times?
Your spouse's name:
*
Has your spouse ever been baptized?
*
Yes
No
Not sure
Denomination of spouse's church of baptism:
Has your current spouse ever been married before?
*
Yes
No
How many times has your spouse been married?
Have either you or your present spouse received a decree of nullity for a prior marriage from a tribunal of the Catholic Church?
*
Yes
No
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Do you have children under the age of 18?
Yes
No
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Please list names and birth dates of children under 18:
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If there are any special circumstances you would like us to know about, please indicate them below:
Submit
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