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RCIA Adult Registration Form

- Sacraments
Other Documents You May Need to Supply

Copy of Baptismal Certificate
Letter Affirming Baptism
Lack of Form
Blessing of Marriage
Annulment Needed
Sponsor Form
Record of Sacrament Form

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- General Information
  
  Full Name (first, middle, last - include maiden if applicable) Please enter valid data.
  
  Address Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Home Phone Number Maximum 20 characters Please enter a phone number.
  
  Cell/Work Phone Number Maximum 20 characters Please enter a phone number.
  
  Email Please enter an email address.
  
  Date of Birth Please enter a date.
  
  Place of Birth Please enter valid data.
  
  Father's Full Name Please enter valid data.
  
  Father's Religion Please enter valid data.
  
  Mother's Full Name (including Maiden Name) Please enter valid data.
  
  Mother's Religion Please enter valid data.
- Children REQUIRED Please fill out this field.
  
  Child 1
  
  Child's Name Please enter valid data.
  
  Age Please enter valid data.
  
  Baptized? Yes No
  
  Child 2
  
  Child's Name Please enter valid data.
  
  Age Please enter valid data.
  
  Baptized? Yes No
  
  Child 3
  
  Child's Name Please enter valid data.
  
  Age Please enter valid data.
  
  Baptized? Yes No
  
  Child 4
  
  Child's Name Please enter valid data.
  
  Age Please enter valid data.
  
  Baptized? Yes No
  
  Child 5
  
  Child's Name Please enter valid data.
  
  Age Please enter valid data.
  
  Baptized? Yes No
  
  Child 6
  
  Child's Name Please enter valid data.
  
  Age Please enter valid data.
  
  Baptized? Yes No
- Your Religious Status
  
  Have you ever been BAPTIZED in any religion? Yes No
  
  If YES, please supply the following information:
  
  Denomination Please enter valid data.
  
  Date of Baptism Please enter a date.
  
  Name of Church Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Minister (if known) Please enter valid data.
  
  ***Must provide a copy of your baptismal certificate and/or letter affirming baptism from place of baptism.
  
  If NO, how do you know that you have not been baptized? Please enter valid data.
  
  ***If you were baptized in a Catholic church, you must provide a copy of your baptismal certificate and note whether or not you have ever received Communion or gone to confession.
  
  Communion? Yes No
  
  Confession/Penance/Reconciliation? Yes No
  
  Have you ever been CONFIRMED? Yes No
  
  If yes, indicate: Name of Church Please enter valid data.
  
  Church Address Please enter valid data.
  
  Date of Confirmation Please enter a date.
  
  Minister Please enter valid data.
  
  Sponsor Please enter valid data.
- Your Marital Status
  
  Status
  
  If you HAVE been married, was it: In a Catholic Church In another church or synagogue In a civil ceremony Common Law
  
  For your PRESENT marriage, please give the name of your Spouse Please enter valid data.
  
  Place of Marriage Please enter valid data.
  
  Date of Marriage Please enter a date.
  
  If Spouse is Catholic AND marriage was outside of the Catholic Church, was the marriage blessed? Yes No
  
  ***Please provide a copy of your marriage license.
- Divorce Information (if applicable)
  
  If you are DIVORCED AND REMARRIED or SIMPLE DIVORCE, please indicate the following:
  
  Former Spouse Full Name Please enter valid data.
  
  Former Spouse's Religion Please enter valid data.
  
  If former Spouse was Catholic, was the marriage blessed? Yes No N/A
  
  Place of Marriage Please enter valid data.
  
  Address of Place of Marriage Please enter valid data.
  
  Date of Marriage Please enter a date.
  
  Date of Marriage Termination Please enter a date.
  
  Manner of Termination Please enter valid data.
  
  Annulment of Marriage Yes No In Process
- Information about your present spouse or fiancé(e)
  
  Name (Including maiden) Please enter valid data.
  
  He/She baptized: Yes No
  
  If YES, in what faith tradition Please enter valid data.
  
  His/Her Religion Please enter valid data.
  
  Date of Pending Marriage & Place Please enter valid data.
  
  Has He/She been married previously? Yes No
  
  If YES, provide the name of his/her previous spouse Please enter valid data.
  
  Place of Marriage Please enter valid data.
  
  Date of Marriage Please enter valid data.
  
  Manner of Termination Please enter valid data.
  
  Termination Date of Marriage Please enter valid data.
- Other Information
  
  Name(s) of churches you have attended Please enter valid data.
  
  Describe your religious or Sunday school training
  
  What is your present religious affiliation? Please enter valid data.
  
  What church do you presently attend? How often? Please enter valid data.
  
  What, or who, has prompted you to inquire about the Catholic Church at this time?
  
  What members of Holy Ghost Parish do you know? Please enter valid data.
Submit

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Holy Ghost Catholic Church

Hammond, LA

RCIA Adult Registration Form

Other Documents You May Need to Supply