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RCIA Registration Form

- Adult Faith Formation

RCIA Registration Form
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- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Street Address REQUIRED Please fill out this field. Please enter valid data.
- City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
- Home Phone Number REQUIRED Please fill out this field. Please enter a phone number.
- Cell Phone Number REQUIRED Please fill out this field. Please enter a phone number.
- Email Address REQUIRED Please fill out this field. Please enter an email address.
- Your Birthday Date REQUIRED Please fill out this field. Please enter valid data.
- Place of Birth REQUIRED Please fill out this field. Please enter valid data.
- Baptismal Date Please enter valid data.
- Baptismal Church/City Please enter valid data.
- Religious Affiliation Please enter valid data.
- Father's First and Last Name REQUIRED Please fill out this field. Please enter valid data.
- Mother's First and Maiden Name Please enter valid data.
- Marriage Status REQUIRED Please fill out this field.
- If divorced or remarried, are you in need of an annulment?
- An Annulment takes about a year to process. If you are in a second marriage, you must talk to Fr. Conor about the annulment process as soon as possible.
- Spouse's First and Last Name Please enter valid data.
- Spouse's Email Please enter valid data.
- Reason for Beginning RCIA Process (please check one) REQUIRED Please fill out this field.
- Office Use Only:
  
  SPONSOR____________________________________________________________
  
  CONFIRMATION NAME__________________________________________________
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