RCIA – The Rite of Christian Initiation for Adults RCIA-Is a process by which a person who wishes to receive the sacraments and be received in the Catholic Church is instructed in the Catholic faith and then received as a faithful of the Church. If you want to be Catholic or know someone who wants to, call the ministry of religious education for more information. Also, adults over 18 who have been baptized but wish to receive Holy Communion and the Sacrament of Confirmation can participate in this program.
Please complete this form as accurately as possible to be admitted to the RCIA program. Only legal names are acceptable. Nicknames and diminutive names cannot be used.
Today's Date:
Are you a registered member of our parish?
Yes
No
If no, you may register online on the home page under my own church or get a form from the church office.
Your personal information
First Name:
Middle Name:
Maiden Name:
Last Name:
Address:
City, State, and Zip Code:
Phone Number:
Email:
Date of Birth: MM/DD/YYYY
Place of Birth: City and State
Parent's Information
Father's Complete Name:
Mother's Complete Maiden Name:
Sacramental Information:
Have you been baptized?
Yes
No
If yes, please complete the following:
Name of Church:
City and State:
Date of baptism:
Have you had your First Communion?
Yes
No
If yes, please complete the following:
Name of Church:
City and State:
Date of First Communion?
Marital Status:
Married
Single
Divorced
Widowed
Separated
If married, spouse's complete name:
If you are married, has your marriage been validated in the Catholic Church
Yes
No
If no, please explain?
If you are not sure about the next answers you may give that information on a later date to your RCIA teacher.
Sponsor's Complete Name:
Sacrament(s) needed:
Baptism
First Holy Communion
Confirmation
All of the above
Patron Saint's Name:
When:
Easter Vigil
Pentecost
Other date chosen by pastor
Do you intend to be received in full communion with the Catholic Church
YES
NO
Date of Sacrament(s): (to filled out by office)
Pastor's Name: (to be filled out by office)
For more information regarding RCIA, please contact the church office at 256-546-2975 and speak to the pastor at ext: 101 or church secretary at ext: 105. You may also contact Deacon J. Fred Williams at deaconjfred1@outlook.com or call 256-454-1061.
