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Thinking of Becoming Catholic Enquiry Form
Rite of Christian Initiation for Adults (RCIA)
The information contained in this form is confidential and is protected under Privacy Legislation and the Privacy Policy of the Parish
Name
First
Last
Address
Street Address
City
State
ZIP / Postal Code
Phone
Email
Date of Birth
DD slash MM slash YYYY
Place of Birth
City, Country
Are you baptized ?
NO
YES (if your answer is yes please answer the following question)
If yes which Church ?
church where you were baptized. Please supply a copy of Baptism certificate
Mother's Name
First
Last
Mother's Maiden Name
Mother's Religion
Father's Name
First
Last
Father's Religion
Have you attended Church services regularly?
Yes
No
Would prefer not to answer
If your answer is "yes" please fill in the next question otherwise skip next question.
What church are you attending now?
How Often
i.e. daily, weekly, monthly, bi weekly, etc.
Marital Status
Married for first time
Never Married
Divorced & Remarried
Widowed
Living together (de facto)
Divorced & now (de facto)
Currently not married
If you have been ever married, pls answer the questions below
Spouse Name
First
Last
Marital Status of your spouse
Married for first time
Never Married
Divorced & Remarried
Widowed
Living together (de facto)
Divorced & now (de facto)
Currently not married
Place of First Marriage
Date of Divorce / Death of Spouse
DD slash MM slash YYYY
Is first Marriage Annulled
Yes
No
If your answer above is Yes please enter details
Place of Second Marriage
Date of Second Marriage
Details of Children from first marriage if applicable
Please list all children. add rows by clicking on the plus sign
Name
D.O.B.
Religion
Sacraments
School Attending
Add
Remove
Details of Children from second marriage if applicable
Please list all children. add rows by clicking on the plus sign
Name
D.O.B.
Religion
Sacraments
School Attending
Add
Remove
Other Relevant Information