RCIA Registration

FULL NAME*

GENDER*

Male
Female

DATE OF BIRTH*

PLACE OF BIRTH*

HOME PHONE #:*

CELL PHONE #:

EMAIL*

FATHER’S NAME:*

FATHER'S RELIGION*

MOTHER'S NAME:*

MAIDEN NAME:*

MOTHER'S RELIGION*

HAVE YOU EVER BEEN BAPTIZED?:*

YES
NO

(If YES, please indicate the name of the church and denomination):*

ARE YOU MARRIED?:*

YES
NO

(If YES, please indicate date and city of marriage):*

(If YES, please indicate if married civilly or in a church):*

(If married in a church, please indicate the name of the church and and denomination):*

(If married, please indicate full name of spouse):*

IF MARRIED, HAS YOUR SPOUSE EVER BEEN BAPTIZED?:*

YES
NO

(If your spouse has been baptized, please indicate the name of the church and denomination):*

ARE YOU LIVING COMMON LAW?:*

YES
NO

HAVE YOU BEEN MARRIED PREVIOUSLY?:*

YES
NO

HAS YOUR SPOUSE BEEN MARRIED PREVIOUSLY?:*

YES
NO

HAVE YOU ANY CHILDREN YOU WOULD LIKE TO HAVE BAPTIZED?:*

YES
NO

HOME MAILING ADDRESS*

Street Address City Postal Code

REQUIRED DOCUMENTS

Please note the following documents are to accompany your registration.

Your Birth Certificate*

Max. file size: 100 MB.

Your Current (previous) Baptismal Certificate (if applicable)

Max. file size: 100 MB.

Additional Information

Please use this space to provide us any additional information.

RCIA Registration Fee

Price:

Credit Card

Card Details

Cardholder Name

RCIA Registration Form

REQUIRED DOCUMENTS

RCIA Registration Form

REQUIRED DOCUMENTS