St. Albert Catholic Chapel & Student Center Enrollment in the inquiry process and/or RCIA process for full reception into the Catholic Christian Church through the Sacraments of Initiation
First Name
*
Middle Name (if you don't have one put "none")
*
Last Name
*
Maiden Name (if married woman)
E-mail:
*
Home Phone:
*
Cell Phone:
Address:
*
City:
*
State:
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
District of Columbia
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
District of Columbia
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Zip code:
*
Place of Employment:
*
The following information is needed for entry in the Church's sacramental registers, should you decide to be received into the Catholic Church
Date of birth (MM/DD/YYYY):
*
City of Birth:
*
Date of Baptism:
Name & City of Church where baptized:
Your Father's Full Name (first, middle, last)
Your Father's Religion:
Your Mother's Full Name (first, middle, last)
Your Mother's Religion:
If you were baptized Catholic, Have you yet received:
Sacrament of Holy Commmunion?
yes
no
If yes, where?
Sacrament of Reconciliation
Yes
No
If yes, where?
If you ARE married, please complete the following:
Full Name or Maiden (if female) Name of your spouse (first, middle, last)
Were you married in a Catholic Church?
yes
no
If yes, Date of Catholic Church Marriage (MM/DD/YYYY)
Name, City & State of Church
Date of Civil Marriage (if different) (MM/DD/YYYY)
Is your present marriage your FIRST marriage?
yes
no
is your present marriage the FIRST marriage for your spouse?
yes
no
Submit
Should be Empty: