Catechumenate Course Registration

Register for the 9-week Spring 2018 Adult Catechumenate Course, beginning Wednesday, March 7th. Please fill out the form below. For more information, visit stmbts.org/catechumenate or contact Fr. Doran Stambaugh.
First Name *
Last Name *
Email *
Street Address *
City, State, Zip *
Phone *
Date of Birth *
Place of Birth *
Have you been baptized? *

Yes No
If yes, date of baptism?
If yes, place of baptism?
If yes, what denomination?

Roman Catholic Lultheran Other option
Have you been confirmed? *

Yes No
If yes, date of confirmation?
If yes, place of confirmation?
If yes, what denomination?

Roman Catholic Lultheran Other option
What is your goal in enrolling in the Catechumenate course? *

I want to be baptized into the one holy catholic and apostolic church I want to be confirmed into the one holy catholic and apostolic church I want to be received into the fellowship of the Anglican Communion I want to reaffirm my baptismal vows I want to take a refresher course in the fundamentals of the catholic faith Other option
Type what you see *
Should be Empty: