RCIA Registration Form
The process of welcoming those who wish to enter the Catholic Church is known as the RCIA (Rite of Christian Initiation of Adults). This year-round process allows anyone to come at anytime and join in the formation process. It is a spiritual journey which requires time, prayer, reflection and discernment. Meeting nights are Thursdays from 7pm to 8:30pm in the Parish Center.
Today's Date
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Month
-
Day
Year
Date
Name
First Name
Middle Name
Last Name
Maiden Name: if applicable
Birth Date
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Month
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Day
Year
Date
Place of Birth
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Work Phone Number
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Area Code
Phone Number
Cell Phone Number
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Area Code
Phone Number
Email
example@example.com
Present religious affiliation
e.g. Baptist, Methodist, Presbyterian, etc.
Have you been baptized?
Yes
No
Not Sure
Into which denomination were you baptized?
e.g. Baptist, Methodist, Presbyterian, etc.
Approximate age when you were baptized?
Place of Baptism
Name of the Church
Address of Church
if known
City and State of Church
Country as well if not in the USA
If baptized Catholic indicate any other sacraments received
Reconciliation
Eucharist
Marital Status?
I am single and have never been married
I am engaged to be married
I am married
I am married, but separated from my spouse
I am divorced and have not remarried
I am divorced and remarried
I am a widower
Fiancee's Name?
Fiancee's religious affiliation?
Is this your first marriage?
Yes, I have not been married before
No, I have been married before
For your fiancee, is this his/her first marriage?
Yes, s/he has not been married before
No, s/he has been married before
Spouse's name?
Spouse's religious affiliation?
Date and Place of your Wedding?
Is this your first marriage?
Yes, I have never been married before
No, I have been married before
No, but my previous marriage was annulled
Have you started the annulment process?
Yes
No
No, but I would like to know more about it
Do you have any children?
Yes
No
What is the name and age of your first child?
What is the name and age of your second child?
What is the name and age of your third child?
What is the name and age of your fourth child?
Submit
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