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RCIA Registration form for inquirers

General Information

First Name:*

Middle Name:*

Last Name:*


Address (Unit # or Floor):




Zip Code:*

Home Telephone Number:*

Cellphone Number:*

Work Telephone Number:*



Date of Birth: (ex. 00/00/0000)*


Place of Birth:


Father's Name:*

Mother's Maiden Name:*

Have you been baptized?*

Date of Baptism:*


Name of Church:*

Address of Church:*

*Please prepare to submit a copy of your Baptismal Certificate at the first session.

Are you joining RCIA to receive Sacrament of Confirmation?*

Are you joining RCIA to receive the Sacrament of the Holy Eucharist?*


Do you know someone at Holy Name Cathedral who can become your sponsor?*

If yes, please indicate his/her name and contact information:*

If none, would you like us to look for a Catholic Sponsor for you?*

Marriage Status:

*Please be assured that all information you give us will be kept confidential

If you are married, is this your first marriage?*

If yes, skip the following.

If remarried, please answer the following:

Which spouse was previously married?

Please state your reason(s) for joining the RCIA program:

Are you willing to attend the weekly Sunday sessions from mid-September through April, usually from 9:30AM until 12:00PM?*

*I attest to the truth of the information above.

Date: (ex. 00/00/0000)*