St. Mary Magdalene Catholic Church RCIA & Adult Confirmation 2016-2017 Inquiry/Registration Form

Name: First Middle Last

Street Address:

City State Zip

Phone Numbers: Home: Work: Ext.

Cell: Other: E-Mail Address / / (Mandatory): Birth Date: / /

Father’s Full Name: First Middle Last

Mother’s Full Maiden Name: First Middle Maiden

Your Place of Birth: City State

Sacramental Information:

Have you been baptized? o Yes o No

If yes, what religion?

Place of Baptism: ______(Name of church and address)

***If yes, please attach a copy of your baptismal certificate to this form.***

If you were baptized Catholic, have you received the following Sacraments?

Penance (Confession) o Yes o No

First Eucharist (Communion) o Yes o No

Confirmation o Yes o No

Marital Status:

PLEASE CHECK ALL THAT APPLY. If you are currently married, all previous (s) must be formally annulled by the Catholic Church in order to receive any Sacrament. Questions about ? Please contact our Nullity Ministry at [email protected]

o I have never been married. o I am engaged to be married. o I am married in the Catholic Church by a priest or deacon. o I am married, but not in the Catholic Church. o I have never been married, but I am living in relationship with a significant other. o I have a prior marriage. o I have received an . o I have not received annulment. o My has a prior marriage. o He/She has received an annulment. o He/She has not received annulment. o I am divorced and I have not remarried. o I am a /widower and have not remarried since my spouse’s death.

Religion of spouse/fiancé: ______

Do you have any children under the age of 7? o Yes o No

Complete Name and Address of the Church/Institution where your marriage took place.

Place of Marriage Officiating Authority (civil govt, Christian minister, etc)

City State Zip

General Questions:

1. What or who has led you to want to know more about the Catholic faith? Why do you want to be Catholic? Have you been attending the Catholic Mass? ______

2. Please describe the types of religious education/formation you have received, as a child or an as adult. ______

3. What contact have you had with the Catholic Church to date? ______

4. What are some of the questions or concerns you have about the Catholic Church? ______

5. For RCIA Only: At this point in time, which of the following statements best describes your present thoughts about the possibility of joining the Catholic Church? (Please circle one)

A. I need must more information about the Catholic Church before I would consider joining.

B. I am considering joining, but I am still unsure about it.

C. I am fairly sure I would like to join, but I still need some time to study and pray about it.

D. I am fairly sure that I want to join the Catholic Church.

I, ______verify that all I have answered is correct and true. Your name (please print)

Your Signature Today’s Date

***Once this form is complete, please bring to the St. Mary Magdalene Parish Office.***

Last Day to Register for RCIA: Friday, August 19, 2016

Last Day to Register for Adult Confirmation: Friday, September 2, 2016

Office Use Only

Date of Interview: ______/______/______

Interviewed by: ______

Status (Circle One): Catechumen Candidate for Full Reception into the Church

Candidate for Confirmation and First Communion

Candidate for Confirmation only Candidate for First Communion only

Name of Sponsor Assigned: ______

Referred to a priest? o Yes o No