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 marriage(s) must be formally annulled by the Catholic Church in order to receive any Sacrament. Questions about Annulments? 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 annulment. o I have not received annulment. o My spouse 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 widow/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