RCIA Registration Form 2018-19 English

INFORMATION ON ADULT

Full Name:(First, Middle, Last) REQUIRED Please fill out this field. Please enter valid data.

Maiden Name ( if applicable): Please enter valid data.

Date of Birth and Age Please enter valid data.

Place of Birth: ( Include locality (Town, City, county etc.) (country) Please enter valid data.

Father's Name (First, Middle, Last) Please enter valid data.

Mother's Name: (First, Middle, Last. Include maiden name) Please enter valid data.

CONTACT INFORMATION

Full Mailing Address:( Include city, state, and zip code) Please enter valid data.

Best Contact number Please enter valid data.

E-Mail Please enter valid data.

RELIGIOUS HISTORY

What if any, is your present religious affiliation Please enter valid data.

Have you ever been baptized Yes No I am not sure

If you answered YES please complete the following questions

In what denomination were you baptized Please enter valid data.

Date or your approximate age when you were baptized Please enter valid data.

Baptismal name(if different from current name) Please enter valid data.

Place of baptism (Name of Church/denomination) Please enter valid data.

Address if known Please enter valid data.

If you were baptized as a Catholic, please mark all sacraments you have received First Communion Confirmation

PLEASE NOTE: A COPY OF CERTIFICATES FOR SACRAMENTS RECEIVED

CURRENT MARITAL STATUS

Check the situations that best describe your marital status I have never been married I am engaged to be married I am married I am married, but separated from my spouse I am divorced and I have not remarried I am a widow/widower and have not remarried

If you are engaged to be married please answer the following

Your fiance(e)'s Name: Please enter valid data.

Your fiance(e)'s current religious affiliation (if any) Please enter valid data.

For You: This is my first marriage I have been married before

For your fiance(e) This is his/her first marriage My fiance(e) has been married before

If you are married please complete the following questions:

Your spouse's name Please enter valid data.

Your spouse's current religious affiliation (if any): Please enter valid data.

Date and Place of marriage Please enter valid data.

Officiating authority of marriage civil government non-Christian Minister Christian Minister Catholic Cleric

For you: This is my first marriage I have been married before

Your Spouse This is my spouse's first marriage My spouse has been married before

FAMILY INFORMATION (List the names of any siblings)

Name , relationship to you, and Age Please enter valid data.

GENERAL QUESTIONS

What or who has led you to want to know more about the Catholic Faith? Please enter valid data.

Please describe the types of religious education you have received, as a child and as an adult Please enter valid data.

What are some of your concerns or questions regarding the Catholic Church Please enter valid data.

What contact have you had with the Catholic Church to date? Please enter valid data.

At this point which of the following statements best describes your present feelings and thoughts about the possibility of joining the Catholic Church I need much more information about the Catholic Church before I would consider joining I am considering joining, but I am still unsure about it I am fairly sure that I would like to join, but I still need some time to study and pray about it I am fairly sure I want to join the Catholic Church

RCIA Fee for 2018-19 $25

For your convenience you may pay through the online link on the website. If paying by check please make it payable to St. Padre Pio. Please note on the memo RCIA. Any questions please be sure to call the parish office (210 )497-6101

Shrine of St.Padre Pio Catholic Church

San Antonio, TX

3843 Bulverde Pkwy

San Antonio, TX 78259

Office Hours 8:00 am-3:30 pm.

RCIA Registration Form 2018-19 English