RCIA Registration Form online

Your name

Today's Date

Date

Your date of birth

Date

Your place of birth. Include town/city, region (state, province, territory, etc.), and country (if born outside of the USA)

Father's Name

Father's religion

Mother's Maiden Name

Mother's religion

Your address (Street, Appt., City, State, & ZIP)

Your Phone Number

Area CodePhone Number

Email

example@example.com

What, if any, is your present religious affiliation?

Have you ever been baptized?

In what church/denomination were you baptized?

Date or approximate age at which you were baptized:

Your baptismal name (if different from current name):

Place of baptism (including name of church)

Address of church of baptism (if known)

Location of place of baptism (if somewhere other than a church)

If you were baptized as a Catholic, please check the sacraments which you have already received:

Church & Date of your First Penance (Confession)

Church & Date of your First Holy Communion

Church & Date of your Confirmation

Is there any Eastern Catholic of Eastern Orthodox membership in your family background?

If so, please describe:

Have you ever been accepted as a catechumen or candidate for full communion in the Catholic Church?

If yes, when?

If yes, where?

Your current marital status:

Your Fiancé(e)'s name:

Your Fiancé(e)'s current religious affiliation (if any)

For you:

For your Fiancé(e):

Your spouse's name:

Date of marriage to your current spouse:

(b) Your Spouse's Current Religious Affiliation (if any):

Place of marriage to your current spouse (include church/courthouse, town, county, state, etc). If outside of the USA, please include region/province/territory and country)

Officiating Authority of Marriage (civil government, non-Christian minister, Christian minister, Catholic clergy, etc.):

For you:

For your spouse:

For teens and children: what school do you attend?

Is anyone else in your family Catholic? Please list.

Who or what has led you to want ot know more about the Catholic Faith?

What types of religious education have you received, as a child and as an adult?

What contact or experience have you had with the Catholic Church to date?

What are some questions or concerns you have about the Catholic Church?

Do you anticipate any conflicts with the OCIA schedule? Please describe