RCIA Registration Form

CORPUS CHRISTI CATHOLIC CHURCH
Rite of Christian Initiation for Adults - RCIA Process

The Parish Office will contact you after submission of the form below.

Inquirer's Full Name Inquirer's Full Name First Middle Last
Inquirer's Address Inquirer's Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Inquirer's Phone Inquirer's Phone - ### - ### ####
Inquirer's Email
Date of Birth Date of Birth / MM / DD YYYY
Place of Birth
Sacraments you are Requesting:

Sacraments you are Requesting: Baptism Holy Eucharist Confirmation I am curious about the Catholic faith and not seeking any Sacraments at this time.
Are you a registered member of Corpus Christi?

Are you a registered member of Corpus Christi? Yes No
Are you currently going to Mass on a weekly basis?

Are you currently going to Mass on a weekly basis? Yes No
Current Marital Status:

Current Marital Status: Single, Never Married Married in the Catholic Church Married civilly or in another faith Married, Separated from my spouse Unmarried, Cohabitin Divorced Engaged to be married in the Catholic Church
If Married or Engaged:

If Married or Engaged: This is my first marriage. This is my spouse’s first marriage. I was previously divorced. My spouse was previously divorced. I was previously married and my spouse passed away. My spouse was previously married and his/her spoused passed away.
If Married, Spouse's Name
If Married, Spouse's Religion
If Married, was your spouse baptized?

If Married, was your spouse baptized? Yes No
If Yes, was your spouse baptized in the Catholic Church?

If Yes, was your spouse baptized in the Catholic Church? Yes No
IF REQUESTING BAPTISM, PLEASE COMPLETE THE FOLLOWING:

Father's Full Name IF REQUESTING BAPTISM, PLEASE COMPLETE THE FOLLOWING:

Father's Full Name First Middle Last
Mother's Full Maiden Name Mother's Full Maiden Name First Last
IF BAPTIZED IN ANOTHER CHRISTIAN FAITH, PLEASE COMPLETE THE FOLLOWING:

Place of Baptism
Baptism Date Baptism Date / MM / DD YYYY
By checking this box, I certify that I have read and verified the above information is complete and accurate.