Which statement(s) do you think best describe where you are right now?
*
I was baptized Catholic and want to receive Confirmation
I was baptized Catholic and want to receive the Sacraments of First Communion and Confirmation
Other
Name
*
First Name
Middle Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
E-mail
*
example@example.com
Primary Number
*
Format: (000) 000-0000.
Birth Date
*
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
Please select a year
2026
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Year
Place of Birth (City & State):
*
Father's Name:
*
Father's Religion:
*
Mother's Maiden Name (First & Last):
*
Mother's Religion:
*
Baptism
Date of Baptism:
*
-
Month
-
Day
Year
Date
Name of Church:
*
City & State of Church
*
Name of Priest:
*
Upload baptismal certificate here:
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Current Marital Status
1. Are you currently married?
*
Yes
No (skip to #5 below)
If yes, Date of Marriage
-
Month
-
Day
Year
Date
2. Is this the only marriage into which you have entered?
Yes
No
If no, how many distinct times have you been married?
3. Is this the only marriage which your spouse has entered into?
Yes
No
If no, how many distinct times has your spouse been married?
4. Are you married in the Catholic Church?
Yes
No
If yes, list name, city, & state of Catholic Church. If no, please indicate where and before whom the marriage took place :
5. Please indicate which is applicable to you:
*
Never been married
Engaged
Separated
Divorced but not remarried
Divorced & remarried
Widow/Widower
If divorced, have you been granted an annulment?
Yes
No
Applied & Waiting
Spouse's Name (if applicable):
First Name
Last Name
Has your spouse been baptized?
Yes
No
If yes, date of baptism
-
Month
-
Day
Year
Date
If yes, indicate where baptized:
Name of Church
City & State
Name of Priest/Minister:
Submit
Should be Empty: