RCIA Adult Inquirer Information Form
Please complete the form below and someone from the parish will be in contact with you about RCIA. The sessions will start Tuesday September 10.
Name (First, Middle, and Last): *
Maiden Name (if applicable):
Date of Birth: *
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Age: *
Place of Birth (location): *
Name of Father: *
Name of Mother: *
Occupation: *
Mailing address: *
Phone: *
Is this a mobile phone? *
Email: *
What, if any, is your present religious affiliation? *
Have you ever been baptized (if yes, please answer the additional questions below)? *
If baptized, in what denomination were you baptized?
If baptized, date or approximate age when you were baptized:
If baptized, baptismal name (if different from current name):
If baptized, place of baptism (name of church/denomination):
If baptized, address of baptism church (including location) (if known):
If you were baptized as a Catholic, please check the sacraments you have already received (check all that apply):
Marital Status: *
If engaged, your fiance(e)'s name:
If engaged, your fiance(e)'s current religious affiliation (if any):
If engaged, please check the boxes that apply:
If married, your spouse's name:
If married, your spouse's religious affiliation (if any):
If married, date of marriage:
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DD
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If married, place of marriage (including location):
If married, officiating authority of marriage (civil government, non-Christian minister, Christian minister, Catholic cleric, etc.):
If married, please check the boxes that apply:
Children or other dependents (include name, relationship, and age for each dependent): *
Who or what has led you to want to know more about the Catholic Faith? *
Please describe the types of religious education you have received as a child and as an adult: *
What contact have you had with the Catholic Church to date? *
What are some questions/concerns you have about the Catholic Church? *
At this point in time, which of the following statements best describes your present feelings and thoughts about the possibility of joining the Catholic Church: *
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