RCIA Registration Form – St. Jude the Apostle Cathedral

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Full Name*
Prefix First Name Middle Name Last Name
Candidate’s Full Name
Address*
Street Address Address Line 2 City State ZIP Code
Preferred Phone Number*
Email Address*
Date of Birth*
City and State of Birth
Fathers full name (First, Middle, and Last)
Mother's full maiden name (First, Middle, and Last)
Have you ever been Baptized?*
- Yes
- No
Name of Church where you were Baptized*
City and State of Church where you were Baptized*
Was it a Catholic Baptism?*
- Yes
- No
Have you received 1st Communion?*
- Yes
- No
Additional Information
Why are you seeking RCIA classes?*
How long have you been attending the Catholic Church?*
How are your participating in the Catholic Church?*
Is there anything else you would like us to know about you?
Phone
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