Become Catholic

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.

Date of Birth REQUIRED Please fill out this field. Please enter valid data.

Place of Birth REQUIRED Please fill out this field. Please enter valid data.

Father's Full Name REQUIRED Please fill out this field. Please enter valid data.

Mother's Full Name (Please include her Maiden name) REQUIRED Please fill out this field. Please enter valid data.

Have you been Baptized? REQUIRED Yes No Please fill out this field.

Baptism Church Name REQUIRED Please fill out this field. Please enter valid data.

Baptism Church Address REQUIRED Please fill out this field.

Date of Baptism REQUIRED Please fill out this field. Please enter valid data.

Have you been Confirmed? REQUIRED Yes No Please fill out this field.

Current Religious Affiliation REQUIRED Please fill out this field. Please enter valid data.

Current Home Address REQUIRED Please fill out this field.

Email REQUIRED Please fill out this field. Please enter an email address.

Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Do you have any health concerns of which we should be aware? REQUIRED Yes No Please fill out this field.

If yes, please explain below:

Full Name of Sponsor REQUIRED Please fill out this field. Please enter valid data.

Marital Status REQUIRED Single Married Divorced Separated Please fill out this field.

If you are married, is it your first marriage? REQUIRED Yes No Please fill out this field.

If it is not your first marriage, please state where your previous marriage took place (church, courthouse, hotel, etc.) REQUIRED Please fill out this field. Please enter valid data.

How was your first marriage dissolved? REQUIRED Divorce Death of Spouse N/A Please fill out this field.

Name of Current Spouse REQUIRED Please fill out this field. Please enter valid data.

Spouse's Religious Affiliation REQUIRED Please fill out this field. Please enter valid data.

Where did your marriage to your current spouse take place? (church, courthouse, hotel, etc.) REQUIRED Please fill out this field. Please enter valid data.

Please list the names and ages of your children below:

Are there any needs that we can assist you with to help you participate in the RCIA sessions? Please enter valid data.

Do you have any specific questions about Catholic Christianity? Please enter valid data.

Below, please write your name as you would like it to appear on your certificate: REQUIRED Please fill out this field. Please enter valid data.

Other Comments and Concerns

Become Catholic

Interested in Becoming Catholic?

What is OCIA?