RCIA
Please provide contact information below and a Team Member will reach out to you. Sessions begin soon.
Sign in to Google to save your progress. Learn more
Name *
Maiden Name
Address *
Phone Number *
Email Address *
Preferred Contact Method *
Required
Sacramental Information
Have you ever been baptized? *
If yes, were you baptized in the Catholic Church?
Clear selection
Name of Church you were baptized in?
Date (Note: you must obtain a copy of your baptismal record from the church you were baptized)
Were you baptized in a non-Catholic church?
Clear selection
Denomination?
Date (Note: you must obtain a copy of your baptismal record from the church you were baptized)
Did you receive your First Communion in a Catholic church?
Clear selection
Marital Information
Are you:
Single (never married)
Clear selection
Widow
Clear selection
Married
Date of Marriage
If divorced, was your previous marriage:
Date of Previous Marriage
Date of Divorce
Was the marriage annulled by the Catholic Church
Clear selection
Is your previous spouse alive?
Clear selection
If divorced, was your previous marriage:
Date of Previous Marriage
Date of Divorce
Was the marriage annulled by the Catholic Church
Clear selection
Is your previous spouse alive?
Clear selection
Your relationship with the Catholic Church
Do you attend Sunday Mass?
Clear selection
If so, do you attend?
Do you attend with a Catholic spouse/partner/friend?
Clear selection
If you have a child/children, are they baptized in the Catholic faith?
Clear selection
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report