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Rite of Christian Initiation for Adults
this form is for those in need of more than 1 Sacrament (Baptism, Communion & Confirmation)
If you ONLY need Confirmation, please return to our website and signup under "Adult Confirmation"
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* Indicates required question
Email
*
Your email
PERSONAL INFORMATION
First Name
*
Your answer
Middle Name
Your answer
Last Name
*
Your answer
Maiden Name (If Applicable)
Your answer
Job / Occupation
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Place of Birth (City, State, Country)
*
Your answer
Father's Name (First, Middle, Last)
*
Your answer
Mother's Name (First, Middle, Last)
*
Your answer
Sponsor's Name (First, Middle, Last)
Your answer
My Confirmation Name
Your answer
My Confirmation Name
Your answer
CONTACT INFORMATION
Mailing Address
*
Your answer
City
*
Your answer
State
*
Your answer
Zip Code
*
Your answer
Phone Number (Home)
Your answer
Phone Number (Cell)
*
Your answer
I can receive text messages
*
Yes
No
Email Address:
*
Your answer
RELIGIOUS HISTORY
What, if any is your present religious affiliation?
*
Your answer
Have you ever been Baptized?
*
Yes
No
I am not sure.
If you answered YES, please provide the Denomination, Name of Church and City & State
Your answer
If you were Baptized Catholic, what other Sacraments have you received ?
*
Penance (confession)
Eucharist (First Holy Communion)
Confirmation
No Other
Place of first Holy Communion (Name of Church, City & State)
*
Your answer
CURRENT MARITAL STATUS
**IMPORTANT**
Marital Status
I am single and i have never been married
I am engaged to be married (please fill out the additional information down below)
I am married (please fill out the additional information down below)
I am married but separated from my Spouse
I am divorced and have not remarried
Clear selection
IF engaged to be married please complete this section
My Fiance(e)'s Full Legal Name
Your answer
My Fiance(e)'s Current Religious Affiliation (if any)
Your answer
IF MARRIED please complete this section
My Spouse's Full Legal Name
Your answer
My Spouse's Current Religious Affiliation
Your answer
Date of Marriage
MM
/
DD
/
YYYY
Place of Marriage
Your answer
Married in Church
Yes
No
Clear selection
IF Married in Church, what is the name and Address of the Church
Your answer
Do you have any questions for us ?
*
Your answer
A copy of your responses will be emailed to the address you provided.
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