St. Monica Catholic Church Rite of Christian Initialtion of Adults (RCIA) Registration form 2010 - 2011

Title: Dcn. Dr. Fr. Mr. Mrs. Ms Rev. Sr.   

First Name *    Middle Name    Last Name *    Suffix: Sr. Jr. II III IV V VI VII   

Nickname

Street Address *    Apt.

City *   State *   ZIP *

Email Address

Home Phone *    Cell Phone    Work Phone

Date of Birth: *   mm/dd/yyyy

Single: Yes    No

   If single, have you ever been married? Yes    No

   If yes, were you married: civilly    in the Catholic Church    by a minister

If married, are you: civilly married (JP)    married in the Catholic Church    married by a minister outside the Catholic church

   Is this your first marriage? Yes    No

   If not, were you married: civilly    in the Catholic Church    by a minister

   Is this your spouse's first marriage? Yes    No

   If not, was your spouse married: civilly    in the Catholic Church    by a minister

If you have been baptized, what is the name of the Church denomination?

What is your mother's maiden name?

What is your father's name?

If you have a sponsor, what is their name?

A person who has not been baptized is a Catechumen
A person who has been baptized in any Christian tradition is a Candidate.
A person who wants to see what this is about is an Auditor.

Status:    Candidate    Catechumen    Auditor

If you have been baptized, please provide a baptismal certificate to the office of faith formation.