RCIA Registration Form

CAPTCHA
Name*
First Middle Last Suffix
Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Email*
Date of Birth*
MM slash DD slash YYYY
City & State of Birth*
City State
Are you Baptized?*
Date of Baptism*
MM slash DD slash YYYY
Location of Baptism*
Church Name City State
Father's Name*
First Middle Last Suffix
Father's Religion*
Mother's Name*
First Middle Maiden Name
Mother's Religion*
What is your marital status?*
Is this a canonical marriage?*
(Where you married in the Catholic Church?)
Spouse's Name*
First Middle Maiden Name Suffix
Spouse's Religion*
Have you ever been married before?*
(If you are currently married and have no previous marriages, please answer “No”)
Have you ever been divorced?*
Is this marriage annulled?*

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