RCIA Registration Form – St.Augustine's Parish

Name

First

Last

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Phone Number

Email

Date of Birth

Place of Birth

Father's Full Name

First

Last

Father's Religious Affiliation

Mother's Full Name

First

Last

Mother's Religious Affiliation

Do you attend Catholic services of worship now?

Yes
No

If yes to the above, where?

Baptism Information (to be completed by those both baptised in the Catholic Church or another Christian community) - Date of Baptism, Denomination, Name of Church, Address of Church

Catholic Sponsor Name

First

Last

Catholic Sponsor Address:

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Catholic Sponsor Phone

Catholic Sponsor Email

have Faith? of

Marital Status

Name of Current Spouse

First

Last

Religion of Current Spouse

Church / Place of Marriage

If you have been previously married, how many times?

Has your spouse been previously married, and if so how many times?

If you have been previously married, was a Declaration of Nullity or a "Privilege of the Faith" dispensation granted?

Yes
No

If your spouse has been previously married, was a Declaration of Nullity or a "Privilege of the Faith" dispensation granted?

Yes
No

Were any of the marriages validated (blessed) or sanated in the Catholic Church?

Yes
No

Any comments on the above?

Are you considering marriage in the Catholic Church?

Yes
No

Name of Intended Spouse

First

Last

Religion of Intended Spouse

Has your intended spouse been married before?

Yes
No

Has the Church granted a Declaration of Nullity or Privilege of Faith?

Yes
No