Date
*
MM
DD
YYYY
Name
*
First Name
Last Name
Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Occupation
*
Phone
*
(###)
###
####
Are you willing to have your cell phone number included in a group text to receive class information?
*
Email
*
Date of Birth (M/D/Y)
*
Age
*
Place of Birth
*
Father's Full Name
*
Mother's Full Name
*
What, if any, is your religious affiliation?
*
Have you ever been baptized with water?
*
If yes, what denomination were you baptized into?
*
If yes, what is the date of your baptism, the name of the church you were baptized in, and the address of the church (city, state, country)?
*
Do you have any children?
*
Current Marital Status
*
What has led you to want to learn more about the Catholic Faith?
Please describe the kind, if any, of religious education you have received, as a child and as an adult. Mention your family’s background/involvement with religion.
*
What contact have you had with the Catholic Church to this date?
*
Are there people in your life who do or do not support your inquiry into the Catholic Faith?
*
What are some questions or concerns you have about the Catholic Church?
*
At this point in time which of the following statements best describes your present feelings and thoughts about the possibility of joining the Catholic Church?
*
Check the box that applies:
*
Sponsor's Name
First Name
Last Name
Sponsor's Email
Sponsor's Phone
(###)
###
####
Desired Saint Name
