Holy Rosary Catholic Church

Date *

MM

DD

YYYY

Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

(###)

###

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Are you willing to have your cell phone number included in a group text to receive class information? *

Yes

No

Have you ever been baptized with water? *

Yes

No

Not Sure

Do you have any children? *

Yes

No

Current Marital Status *

Never been married

Engaged to be married

Married

Married but separated from my spouse

Divorced but not remarried

Widowed and have not remarried

Check the box that applies: *

I need much more information about the Catholic Church before I would consider joining it.

I’m considering joining, but I’m still unsure about it.

I am fairly sure that I would like to join, but I need some time to study and pray about it.

I am fairly sure I want to join the Catholic Church.

Sponsor's Name

First Name

Last Name

Sponsor's Phone

(###)

###

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