RCIA

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

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

Local Address REQUIRED Please fill out this field. Please enter valid data.

Permanent Address REQUIRED Please fill out this field. Please enter valid data.

City REQUIRED Please fill out this field. Please enter valid data.

State REQUIRED Please fill out this field.

Zip REQUIRED Please fill out this field. Please enter a zip code.

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.

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

Birthplace REQUIRED Please fill out this field. Please enter valid data.

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

Mother's Religion REQUIRED Please fill out this field. Please enter valid data.

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

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

Have you participated in any other church? REQUIRED Yes No Please fill out this field.

If you have participated in another church, what denomination? Please enter valid data.

Level of involvement Weekly Monthly Infrequently

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

Name of church where you were Baptized Please enter valid data.

Was your Baptism in a Catholic church? REQUIRED Yes No Please fill out this field.

Have you had your First Communion? REQUIRED Yes No Please fill out this field.

Name of Parish where you had your First communion? Please enter valid data.

Date of First Communion Please enter valid data.

The Sacrament of Marriage is Important-Marital Status REQUIRED Never Married Married Divorced Annulled Please fill out this field.

How many times have you been married? Please enter valid data.

Type of Ceremony? Catholic, Civil, Other Denomination(Please provide denomination) Please enter valid data.

If currently married, name and religion of Spouse Please enter valid data.

Has your current spouse or fiancé/fiancée ever had a prior marriage? Yes No

Please provide details of the previous marriages; including name, dates, and type of marriage (Catholic, civil, other denomination

Do you have any children? REQUIRED Yes No Please fill out this field.

Names of Children Please enter valid data.

Attending Catholic educational services? REQUIRED Yes-CCD Yes-Catholic School No Catholic education Please fill out this field.

Have you ever been Baptized? (Proof will be required) REQUIRED Yes No Please fill out this field.

Denomination Please enter valid data.

Church name, City, state Please enter valid data.

Date of Baptism Please enter valid data.

Tell us about your experiences of God and religion up to this point in your life. Where did you learn about God and/or what was your family's involvement in religion? REQUIRED Please fill out this field.

When did you first become interested in the Catholic Church? REQUIRED Please fill out this field.

What are your general impressions of the Catholic Church? REQUIRED Please fill out this field.

Why are you now interested in learning more about the Catholic Church? REQUIRED Please fill out this field.

What are your expectations of the Catechumenate process? REQUIRED Please fill out this field.

What do you hope to offer to the Catholic Faith Community? REQUIRED Please fill out this field.

Are there any questions about the Catholic Church, Faith, or the RCIA Process that you would like to have answered at this time?

Are there other things that you would the RCIA team to know about you?

Do you have friends in St. James Parish? REQUIRED Yes No Please fill out this field.

How did you hear of the St. James/UCD Newman RCIA Process? REQUIRED Please fill out this field. Please enter valid data.

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

St. James Catholic Church

1275 B Street Davis, CA 95616

530-756-3636 530-756-5342 (fax)

St. James/UCD Newman RCIA General Registration Form – Catechumen

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