RCIA Online Registration

St. Mary / St. Patrick Catholic Church
Information for the RCIA Program
(Rite of Christian Initiation of Adults)

Contact Information

General Information

Date of Birth REQUIRED Please fill out this field. Please enter a date.
Place of Birth REQUIRED Please fill out this field. Please enter valid data.
Father's Name REQUIRED Please fill out this field. Please enter valid data.
Mother's First and Maiden Name REQUIRED Please fill out this field. Please enter valid data.
Registered REQUIRED
Are you registered at St. Mary / St. Patrick Church?
Yes No New Please fill out this field.

Baptism

Baptized REQUIRED
Have you ever been baptized?
Yes No Please fill out this field.
Name of Church Please enter valid data.
Date Please enter a date.
Church Denomination Please enter valid data.

First Holy Communion

Communion REQUIRED
Have you ever received First Holy Communion in the Catholic Church?
Yes No Please fill out this field.
Name of Church Please enter valid data.
City, State Please enter valid data.

Confirmation

Confirmation REQUIRED
Have you ever been Confirmed in the Catholic Church?
Yes No Please fill out this field.
Name of Church Please enter valid data.
City, State Please enter valid data.

Marriage

Married REQUIRED
Are you married?
Yes No Please fill out this field.
Where? Please enter valid data.
When? Please enter valid data.
By Whom? Please enter valid data.
Spouse's Name Please enter valid data.
Church Affiliation Please enter valid data.
Engaged Please enter a date.
Have you been married before? Yes No
Date and Location Please enter valid data.
Has your spouse been married before? REQUIRED Yes No Please fill out this field.
Date and Location Please enter valid data.
Previous marriages
If you or your spouse has been married before have any and all marriages been declared officially invalid by the Catholic Church?
Yes No Pending

Sponsor

Sponsor
Do you have someone in mind who is a practicing Catholic who could serve as your RCIA sponsor?
Yes No
Name Please enter valid data.
Why are you considering the Catholic Church? REQUIRED Please fill out this field.