RCIA Registration Form

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Today's Date Please enter valid data.
First 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 (if applicable) Please enter valid data.
Date of Birth REQUIRED Please fill out this field. Please enter a date.
Place of Birth (City and State) Please enter valid data.
Street Address 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.
Cell Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
Email REQUIRED Please fill out this field. Please enter an email address.
What, if any, is your present religious affiliation? Please enter valid data.
Have you ever been baptized? Yes No I am not sure
If you answered yes, please provide the following information.
a. In what denomination were you baptized? Please enter valid data.
b. Date or your approximate age when you were baptized. Please enter valid data.
c. Baptismal Name (if different than your current name) Please enter valid data.
d. Place of Baptism (name of church/denomination) Please enter valid data.
e. Address, if known Please enter valid data.
If you were baptized Catholic, check the sacraments you have already received. Penance (Confession) Eucharist (First Communion) Confirmation
Check the appropriate statement(s) below and provide any information requested. I have never been married I am engaged to be married. I am married. I am married, but separated from my spouse. I am a widow/widower and have not remarried since my spouse's death. I am divorced and I have not remarried. I am divorced and remarried.
IF YOU ARE ENGAGED OR MARRIED:
Your Fiancé/Spouse's Name: Please enter valid data.
Your Fiancé/Spouse's current religious affiliation (if any): Please enter valid data.
For You: This is my first marriage. I have been married before.
For your fiancé/spouse This is his/her first marriage. My fiancé/spouse has been married before.
Date of Marriage Please enter valid data.
Place of Marriage (city & state) Please enter valid data.
Officiating Authority of Marriage (civil government, non-Christian minister, Christian minister, Catholic cleric) Please enter valid data.
What or who has led you to want to know more about the Catholic Faith?
Please describe the types of religious education you have received, as a child and as an adult.
What contact have you had with the Catholic Church to date?
What are some of the questions or concerns you have about the Catholic Church?
At this point in time, which of the following statements best describes your present feelings and thoughts about the possibility of joining the Catholic Church? Please choose one. I need much more information about the Catholic Church before I would consider joining. I am considering joining, but I am still unsure about it. I am fairly sure that I would like to join, but I still need some time to study and pray about it. I am fairly sure that I want to join the Catholic Church.

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Holy Family Catholic Church

Abilene, TX

RCIA Registration Form

Registration Form to Join our RCIA Classes this year