RCIA Enrollment

First Name REQUIRED

Women are asked to include their maiden name in parenthesis, if married.

Please fill out this field. Please enter valid data.

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

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

Maiden Name Please enter valid data.

Date of Birth REQUIRED Please fill out this field. Please enter a date.

City & State of Birth REQUIRED Please fill out this field. Please enter valid data.

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.

Cell REQUIRED Please fill out this field. Please enter a phone number.

Home Phone

Please include your home phone, if you have a land line.

Please enter a phone number.

Work Phone Please enter a phone number.

Occupation or Employer Please enter valid data.

NURSERY REQUEST: If you will need the nursery for RCIA classes, please list your children's names and ages below and any pertinent information (i.e. you need every other week, child's allergies, etc)

Are you a registered member of Christ the King? REQUIRED Please fill out this field.

Marital Status REQUIRED Please fill out this field.

Name of Spouse/Fiance/Fiancee Please enter valid data.

If married, select the most appropriate response.

If married, where and by whom? Please enter valid data.

Sacramental Information

Have you been baptized? REQUIRED Yes No Please fill out this field.
If baptized, what was the date of your baptism? Please enter valid data.
If baptized, name of church where baptized. Please enter valid data.
If baptized, city and state where church is located. Please enter valid data.
If you have been baptized we will need a certificate or documentation that includes the date, church's name and city/state where the church is located. Please begin to look for this information and ask us if you have any questions about what is needed.
If Catholic, have you received First Communion? REQUIRED Yes No Not applicable Please fill out this field.

Sponsor Information

Do you need help in choosing a sponsor? REQUIRED
Your confirmation sponsor must be a practicing Catholic who has been confirmed.
Yes No Please fill out this field.
If no, what is your sponsor's name? Please enter valid data.
Sponsor's Phone Number Maximum 20 characters Please enter a phone number.

Certificate Information

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

Please check all that apply I definitely want to become Catholic I think I might want to become Catholic I am just looking and not sure at this time whether I want to become Catholic I do not want to become Catholic, but I want to know what Catholics believe I am a baptized Catholic but not Confirmed and want to know more I am a practicing Catholic and want to update my Church knowledge

Please share any information you feel would be helpful for the pastoral staff to have.

RCIA Enrollment

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Rite of Christian Initiation of Adults