RCIA Registration Form

Today's Date REQUIRED Please fill out this field. Please enter a date.

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.

Address Please enter valid data.

City Please enter valid data.

State

Zip Please enter a zip code.

Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Email REQUIRED Please fill out this field. Please enter an email address.

Have you ever been baptised? REQUIRED Please fill out this field.

If YES:

Name of Christian Denomination REQUIRED Please fill out this field. Please enter valid data.
Name of Church REQUIRED Please fill out this field. Please enter valid data.
Address of Church REQUIRED Please fill out this field. Please enter valid data.
Date of Baptism REQUIRED Please fill out this field. Please enter a date.
Address of Church Please enter valid data.

If you were baptized Catholic, were you Confirmed in the Catholic Church? REQUIRED Yes No Please fill out this field.

Have you ever participated in Christian education classes? REQUIRED Yes No Please fill out this field.

Are you presently an active member of a Christian Congregation? REQUIRED Yes No Please fill out this field.

Marital Status

Each Candidate should have a Sponsor, who is a practicing Catholic, who will take the time to journey with the Candidate on this pilgrimage of faith.

Name of Sponsor REQUIRED Please fill out this field. Please enter valid data.

Sponsor's Contact No. REQUIRED Please fill out this field. Please enter valid data.

Saint ignatius catholic parish