RCIA/ RCIC

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.

Date and place of birth Please enter valid data.

Street number and name REQUIRED Please fill out this field. Please enter valid data.

City REQUIRED Please fill out this field. Please enter valid data.

State REQUIRED Please fill out this field.

Zip REQUIRED Please fill out this field. Please enter a zip code.

Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Phone Number Cell REQUIRED Please fill out this field. Please enter a phone number.

Email REQUIRED Please fill out this field. Please enter an email address.

Email must be @gmail.com REQUIRED Please fill out this field. Please enter an email address.

Father's name Please enter valid data.

Mother's name (Please include maiden name) Please enter valid data.

Are you baptized? Yes No

If yes, please provide the date, name, address, and phone number of the Church in which you were baptized.

If no, how do you know you were not baptized?

You will need to choose a sponsor.

Sponsors should be a practicing Catholics and someone you look up to in matters of faith. Sponsors will journey alongside you as you prepare for these important Sacraments.

Please also provide the name and phone number of the Church they attend.

Name of proposed Sponsor, Church they attend, Church's phone number

Marital Status

If your are presently married, please fill out the following

Name of Spouse Please enter valid data.

Date and place of marriage Please enter valid data.

If you have been married, was it: In a Catholic Church In another church or synagogue In a civil ceremony Common Law

If spouse is Catholic AND marriage was outside of the Catholic Church, was the marriage blessed?

If you are DIVORCED AND REMARRIED or SIMPLE DIVORCE, please complete the following:

Former Spouse's name and religion Please enter valid data.

If former spouse was Catholic was this marriage "Blessed?" Yes No

Date, place/church of Marriage Please enter valid data.

Address of the place of Marriage Please enter valid data.

Date and manner of termination Please enter valid data.

Annulment of Marriage Yes No Not Applicable

Information about your present spouse or fiance:

Full Name Please enter valid data.

Has he/she ever been Baptized? Yes, Catholic Yes, non-Catholic No

His/Her Religion Please enter valid data.

Date and place of upcoming marriage Please enter valid data.

Has he/she been married before?

If yes, please provide the place, city/state, date of Marriage

Manner of termination, date of termination Please enter valid data.

Annulment of Marriage

RCIA/ RCIC

Schedule

RCIA/RCIC Registration