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Rite of Christian Initiation (RCIA)
This registration form is for adults who wish to join the Catholic Church and complete their Sacraments of Initiation, Baptism, Confirmation and First Holy Communion.
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* Indicates required question
Email
*
Your email
What is your first and middle name
*
Please use the name that appears on your Birth Certificate, if female and married use your current legal name.
Your answer
What is your last name
*
Please use the name that appears on your Birth Certificate, if female and married use your current legal name.
Your answer
Place of Birth: City & State
If not in the United States include country name
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Street Address
*
Your answer
City, State & Zip
*
Your answer
phone number
*
enter as ###.###.####
Your answer
Father's Name
*
enter your father's first, middle and last name
Your answer
Mother's Name
*
enter your mother's first, middle and
maiden
last name
Your answer
Have you ever been baptized in any Christian Church?
*
Yes
No
Required
If you were baptized, what church did the baptism occur?
Your answer
Marital Status
*
Please check all that apply, current status and any previous marital status.
Never Married
Engaged
Married - please add spouse name and how you were married below
Widowed
Divorced
Separated
Living with someone, but not Married (cohabiting) - please add partner name below
Required
If Married or living with someone please provide their first and last name.
Your answer
Is your spouse/partner Catholic?
Yes
No
Maybe
Clear selection
If Married, please select how you were married
In the Catholic Church - you will need to provide a copy of your marriage certificate
In another Christian Church
By a Civil Magistrate (judge, civil servant, etc.)
Other
Emergency Name & Phone Number
Your answer
Additional information or questions
Your answer
Certification
By clicking "submit" I certify that the information provided is accurate and true.
A copy of your responses will be emailed to the address you provided.
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This form was created inside of St Vincent de Paul Catholic Church.
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