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 NameMiddle NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number

Area CodePhone Number
Cell Number

Area CodePhone Number
E-mail
____________________________________
PART 2
Date of Birth

MonthDayYear
Place of Birth
City and country
Father's Full Name

First NameMiddle NameLast Name
Father's Religion
Mother's Full Name (use Mother's maiden name)

First NameMiddle NameLast 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

CityState / Province

Postal / Zip CodeCountry
Denomination
Date of Baptism

MonthDayYear
Other Sacraments Received

First EucharistConfirmationMarriage
____________________________________
Part 4
Are you:

SingleMarriedSeparatedEngaged o be MarriedWidowed/WidowerDivorcedOther
Have you been married before

YesNo
If so, where and when?
____________________________________
Part 5
Family:
Spouse

First NameLast 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:

____________________________________