Cathedral R.C.I.A. Registration Form

Cathedral R.C.I.A. Registration Form

Please fill out the form, print it and return it to the Parish office
PART 1
Name

First Name Middle Name Last Name
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Phone Number

Area Code Phone Number
Cell Number

Area Code Phone Number
E-mail
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PART 2
Date of Birth

Month Day Year
Place of Birth
City and country
Father's Full Name

First Name Middle Name Last Name
Father's Religion
Mother's Full Name (use Mother's maiden name)

First Name Middle Name Last Name
Mother's Religion
____________________________________
PART 3
If you have been baptized, please give the following information and inlude a copy of your Baptismal Certificate
Church of Baptism
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Denomination
Date of Baptism

Month Day Year
Other Sacraments Received

First Eucharist Confirmation Marriage
____________________________________
Part 4
Are you:

Single Married Separated Engaged o be Married Widowed/Widower Divorced
Have you been married before

Yes No
If so, where and when?
____________________________________
Part 5
Family:
Spouse

First Name Last Name
Spouse's Religion

Children:

Part 6
Why are you considering Full Membership in the Roman catholic Church at this time?
What experiences of God, Church or Religion have you had?
Is there anything else you would like to tell about yourself?
Print this Form and take to Church Office with Baptismal Certificate (if you have been baptized previously)
Should be Empty:

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