RCIA REGISTRATION FORM - St. Alfred Parish

RCIA REGISTRATION FORM - St. Alfred Parish
Name

First NameMiddle NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Home Phone

Area CodePhone Number
Work Phone

Area CodePhone Number
Cell Phone

Area CodePhone Number
E-mail
Occupation
Employer
DOB
Place of Birth
Current Marital Status

Check all that apply
Not MarriedDivorcedMarried
If married, date of marriage
Name of church/place of marriage
Name of spouse/fiance (if applicable)

First NameMiddle NameLast NameMaiden name
Relig/Denomination of your Spouse/Fiancé(e)
Name of your Father

First NameMiddle NameLast Name
Name of your Mother:

First NameMiddle NameLast NameMaiden
Baptism
Have you been baptized

YesNo
If you have been baptized provide details
(For those already baptized, please obtain a copy of your baptismal certificate by contacting the Church of your baptism and bring the copy to the church office as soon as possible.)
Previous Marriage
I was married previously:
If yes, date of marriage
If yes, provide details
My current fiancé(e) was married previously
If yes, provde date

MonthDayYear
If previously married, provide details
(if either you or your spouse/ fiancé(e) were previously married please contact the parish priest as soon as possible)
Should be Empty: