Request edit access
RCIA at Our Lady of Lourdes
RCIA stands for Rite of Christian Initiation for Adults.
Email Fr. Rob Walsh (
) or Sr. Claudia (
) if you have any questions
Sign in to Google
to save your progress.
First Name, Middle Name, Last Name
Cell phone #
Date of Birth
What, if any, is your present religious affiliation?
Where were you born? (City, State)
Have you ever been baptized? At what age?
Please note: If you have been baptized, you will need to request a copy of your baptismal certificate from the parish/church where you were baptized. The sooner you can do this, the better!
If yes, in what denomination?
Location of church (Street Address, City, State)
If you are Catholic, check those sacraments you have already received.
Eucharist (First Communion)
Please check what applies to your marital status
I am single, never married
I am Divorced
I am Divorced and Remarried
I am Engaged to marry
I am married
I am a Widow/er
If you are married, list the names of your family members
Ex. John - husband, Sam - daughter etc.
If you are engaged to marry, complete the following information about your fiancee: 1) Name, 2) City of Residence and State, 3) Religious Affiliation, 4) Proposed Wedding Date
Never submit passwords through Google Forms.
This form was created inside of UMD - CSC.