Rite of Christian Initiation of Adults

Inquirer Information

First Name^*

Middle Initial

Last Name^*

Address^*

City^*

State^*

ZIP^*

Phone^*

Work Phone

Email^*

Occupation

Date of Birth

Place of Birth

Your Father’s Full Name

Your Mother’s Full Name

Include maiden name

Religious Affiliation

Your present religious affiliation^*

Were you ever baptized, christened, in any religion?^*

Yes

Were you ever confirmed?^*

Yes

Describe your religious upbringing and education Did you regularly attend worship and education opportunities?

Why have you come to the Catholic Church at this time?^*

Have you ever received first communion?^*

Yes

Children

Do you have children under 18 years of age?^*

Yes

Spirit of Life Roman Catholic Church