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): *
Your answer
Maiden Name (if applicable):
Your answer
Date of Birth: *
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Age: *
Your answer
Place of Birth (location): *
Your answer
Name of Father: *
Your answer
Name of Mother: *
Your answer
Occupation: *
Your answer
Mailing address: *
Your answer
Phone: *
Your answer
Is this a mobile phone? *
Email: *
Your answer
What, if any, is your present religious affiliation? *
Your answer
Have you ever been baptized (if yes, please answer the additional questions below)? *
If baptized, in what denomination were you baptized?
Your answer
If baptized, date or approximate age when you were baptized:
Your answer
If baptized, baptismal name (if different from current name):
Your answer
If baptized, place of baptism (name of church/denomination):
Your answer
If baptized, address of baptism church (including location) (if known):
Your answer
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:
Your answer
If engaged, your fiance(e)'s current religious affiliation (if any):
Your answer
If engaged, please check the boxes that apply:
If married, your spouse's name:
Your answer
If married, your spouse's religious affiliation (if any):
Your answer
If married, date of marriage:
MM
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DD
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YYYY
If married, place of marriage (including location):
Your answer
If married, officiating authority of marriage (civil government, non-Christian minister, Christian minister, Catholic cleric, etc.):
Your answer
If married, please check the boxes that apply:
Children or other dependents (include name, relationship, and age for each dependent): *
Your answer
Who or what has led you to want to know more about the Catholic Faith? *
Your answer
Please describe the types of religious education you have received as a child and as an adult: *
Your answer
What contact have you had with the Catholic Church to date? *
Your answer
What are some questions/concerns you have about the Catholic Church? *
Your answer
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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