RCIA

PLEASE COMPLETE EACH SECTION THAT APPLIES TO YOU:

I AM MARRIED:

Spouse's Name

First

Middle

Last

Spouse's Religion

Place of Marriage:

Address Line 1

Address Line 2

City

State

Zip Code

Official at the wedding:

Catholic Priest or Deacon
Minister
Judge
Other

Is this your first and only marriage?

Yes
No

If no, please explain:

Is this your spouse's first and only marriage?

Yes
No

If no, please explain:

I AM DIVORCED:

Former Spouse's Name

First

Middle

Last

Former Spouse's Religion

Date of Divorce Decree:

County and State of Decree:

Place of Marriage:

Address Line 1

City

State

Zip Code

Official at the wedding:

Catholic Priest or Deacon
Minister
Judge
Other

Was this your first and only marriage?

Yes
No

If no, please explain:

Was this your spouse's first and only marriage?

Yes
No

If no, please explain:

I AM WIDOWED:

Was this your first and only marriage?

Yes
No

If no, please explain:

I AM ENGAGED:

Future Spouse's Name

First

Middle

Last

Future Spouse's Religion

Date of Proposed Marriage:

Where will you be married:

Address Line 1

Address Line 2

City

State

Zip Code

Is this your first and only marriage?

Yes
No

If no, please explain:

Is this your future spouse's first and only marriage?

Yes
No

If no, please explain:

Register for RCIA

BIOGRAPHICAL INFORMATION

BAPTISMAL INFORMATION

PLEASE COMPLETE EACH SECTION THAT APPLIES TO YOU:

I AM MARRIED:

I AM DIVORCED:

I AM WIDOWED:

I AM ENGAGED:

GENERAL INFORMATION: