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RCIA Registration

Pre-Initiation Inventory
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  A. Inquirer Data
  
  Date REQUIRED Please fill out this field. Please enter a date.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Last Name 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.
  
  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.
  
  Are you active military? Yes No
  
  If so, will you deploying out of the area before 31 March 2024? Yes No
  
  B. Place and Date of Birth
  
  City of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  State of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  C. Father's Information
  
  Father's First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Father's Middle Name REQUIRED Please fill out this field. Please enter valid data.
  
  Father's Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Father's Address Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Father's Religion Please enter valid data.
  
  Father's Phone Number Maximum 20 characters Please enter a phone number.
  
  Father's Email Please enter an email address.
  
  D. Mother's Information
  
  Mother's First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Mother's Middle Name REQUIRED Please fill out this field. Please enter valid data.
  
  Mother's Last Name (Maiden) REQUIRED Please fill out this field. Please enter valid data.
  
  Mother's Address Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Mother's Religion Please enter valid data.
  
  Mother's Phone Number Maximum 20 characters Please enter a phone number.
  
  Mother's Email Please enter an email address.
  
  Sacrament Information
  
  E. Baptism
  
  If you were NOT baptized, check "No," and skip down to the RCIA Section.
  
  Were you Baptized? Yes No
  
  If yes, Date of Baptism Please enter valid data.
  
  If yes, what is the Religion of the Church? (Submit a copy of your Baptismal Certificate or letter from the church of baptism.) Please enter valid data.
  
  Name of the Church Please enter valid data.
  
  Church's Address Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  F. Confirmation (Only fill this section if you were baptized. Otherwise, skip down to the Current Life Status)
  
  Were you Confirmed? Yes No
  
  If yes, Date of Confirmation Please enter valid data.
  
  Name of the Church Please enter valid data.
  
  If yes, what is the Religion of the Church? Please enter valid data.
  
  Church's Address Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  G. First Holy Communion (Only fill this section if you were baptized. Otherwise, skip down to the Current Life Status)
  
  Have you ever received First Holy Communion? Yes No
  
  If yes, Date of First Holy Communion Please enter valid data.
  
  If yes, what is the Religion of the Church? Please enter valid data.
  
  Name of the Church Please enter valid data.
  
  Church's Address Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  H. RCIA (Rite of Christian Initiation for Adults)
  
  Have you ever been previously accepted as a candidate/catechumen the Catholic Church? Yes No
  
  Name of Roman Catholic Church where you had been in RCIA Please enter valid data.
  
  Church's Address Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Reason(s) for not completing the RCIA Program:
  
  I. Current Life (Which best describes your status?) REQUIRED Please fill out this field.
  
  J. We're Engaged! ONLY fill out this section if:
  
  Single, but engaged to be married
  
  Previously married and divorced, but engaged to be married
  
  Widow(er), engaged to be married
  
  Is this wedding happening before 31 March 2024? Yes No
  
  Future Spouse's Name Please enter valid data.
  
  Future Spouse's Religion Please enter valid data.
  
  Place of Pre-Marriage Preparation Please enter valid data.
  
  Date of Wedding Please enter valid data.
  
  Wedding Venue Roman Catholic Church Non-Catholic Church Before Civil Official
  
  Name of the place where the wedding will take place Please enter valid data.
  
  Street address where the wedding will take place Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Prior to this impending wedding, were you ever been married to another person in church, civilly or by common law? If you answer YES, Fill out Section K. Yes No
  
  Prior to this impending wedding, was your future spouse's ever been married to another person in church, civilly or by common law? If you answer YES, Fill out Section L. Yes No
  
  K. Marriage - List all your marriage(s) [civilly, church, or common law], starting with your first and ending with your current marriage If:
  
  Previously married and divorced, but engaged to be married
  
  Remarried WITHOUT a Church annulment
  
  Married in the Roman Catholic Church by a priest or deacon
  
  Married, but NOT in the Roman Catholic Church
  
  Remarried with a Church annulment
  
  Separated - Civilly (legally) or mutual choice by both parties
  
  How many times have you been married? REQUIRED Please fill out this field.
  
  Marriage # 1
  
  Spouse's Name Please enter valid data.
  
  Spouse's Religion Please enter valid data.
  
  Date of the Wedding Please enter valid data.
  
  Wedding Venue Roman Catholic Church Non-Catholic Church Before Civil Official
  
  Name of the place where the wedding took place Please enter valid data.
  
  Street address where the wedding took place Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Was this marriage Convalidated? This means the couple came to the Catholic Church after being married outside the Church, did a Catholic marriage preparation program, and had a Catholic ceremony in the church to convalidate the marriage.) Yes No
  
  Officiant Please enter valid data.
  
  Status of this marriage? Still Married to this Spouse Divorce Death
  
  If this was a previous marriage, was it annulled, and who issued the annulment? Catholic Church Civil Court
  
  Marriage # 2
  
  Spouse's Name Please enter valid data.
  
  Spouse's Religion Please enter valid data.
  
  Date of the Wedding Please enter valid data.
  
  Wedding Venue Roman Catholic Church Non-Catholic Church Before Civil Official
  
  Name of the place where the wedding took place Please enter valid data.
  
  Street address where the wedding took place Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Was this marriage Convalidated? This means the couple came to the Catholic Church after being married outside the Church, did a Catholic marriage preparation program, and had a Catholic ceremony in the church to convalidate the marriage.) Yes No
  
  Officiant Please enter valid data.
  
  Status of this marriage? Still Married to this Spouse Divorce Death
  
  If this was a previous marriage, was it annulled, and who issued the annulment? Catholic Church Civil Court
  
  Marriage # 3
  
  Spouse's Name Please enter valid data.
  
  Spouse's Religion Please enter valid data.
  
  Date of the Wedding Please enter valid data.
  
  Wedding Venue Roman Catholic Church Non-Catholic Church Before Civil Official
  
  Name of the place where the wedding took place Please enter valid data.
  
  Street address where the wedding took place Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Was this marriage Convalidated? This means the couple came to the Catholic Church after being married outside the Church, did a Catholic marriage preparation program, and had a Catholic ceremony in the church to convalidate the marriage.) Yes No
  
  Officiant Please enter valid data.
  
  Status of this marriage? Still Married to this Spouse Divorce Death
  
  If this was a previous marriage, was it annulled, and who issued the annulment? Catholic Church Civil Court
  
  L. Your Spouse's Previous Marriage(s) fill out this section if:
  
  Married, but NOT in the Roman Catholic Church
  
  Previously married and divorced, but engaged to be married
  
  Remarried WITHOUT a Church annulment
  
  Widow(er), engaged to be married
  
  How many times has current or Former Spouse(s) been married? REQUIRED Please fill out this field.
  
  Marriage # 1
  
  Your Spouse's Name Please enter valid data.
  
  His/Her Former Spouse's Name Please enter valid data.
  
  His/Her Former Spouse's Religion Please enter valid data.
  
  Date of Previous Wedding Please enter valid data.
  
  Wedding Venue Roman Catholic Church Non-Catholic Church Before Civil Official
  
  Name of the place where the wedding took place Please enter valid data.
  
  Street address where the wedding took place 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.
  
  Was this marriage Convalidated? This means the couple came to the Catholic Church after being married outside the Church, did a Catholic marriage preparation program, and had a Catholic ceremony in the church to convalidate the marriage.) Yes No
  
  Officiant Please enter valid data.
  
  How did this Marriage end? Divorce Death
  
  If this marriage was annulled, who issued the annulment? Catholic Church Civil Court
  
  Marriage # 2
  
  Your Spouse's Name Please enter valid data.
  
  His/Her Former Spouse's Name Please enter valid data.
  
  His/Her Former Spouse's Religion Please enter valid data.
  
  Date of Previous Wedding Please enter valid data.
  
  Wedding Venue Roman Catholic Church Non-Catholic Church Before Civil Official
  
  Name of the place where the wedding took place Please enter valid data.
  
  Street address where the wedding took place 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.
  
  Was this marriage Convalidated? This means the couple came to the Catholic Church after being married outside the Church, did a Catholic marriage preparation program, and had a Catholic ceremony in the church to convalidate the marriage.) Yes No
  
  Officiant Please enter valid data.
  
  How did this Marriage end? Divorce Death
  
  If this marriage was annulled, who issued the annulment? Catholic Church Civil Court
  
  Marriage # 3
  
  Your Spouse's Name Please enter valid data.
  
  His/Her Former Spouse's Name Please enter valid data.
  
  His/Her Former Spouse's Religion Please enter valid data.
  
  Date of Previous Wedding Please enter valid data.
  
  Wedding Venue Roman Catholic Church Non-Catholic Church Before Civil Official
  
  Name of the place where the wedding took place Please enter valid data.
  
  Street address where the wedding took place 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.
  
  Was this marriage Convalidated? This means the couple came to the Catholic Church after being married outside the Church, did a Catholic marriage preparation program, and had a Catholic ceremony in the church to convalidate the marriage.) Yes No
  
  Officiant Please enter valid data.
  
  How did this Marriage end? Divorce Death
  
  If this marriage was annulled, who issued the annulment? Catholic Church Civil Court
  
  Marriage # 4
  
  Your Spouse's Name Please enter valid data.
  
  His/Her Former Spouse's Name Please enter valid data.
  
  His/Her Former Spouse's Religion Please enter valid data.
  
  Date of Previous Wedding Please enter valid data.
  
  Wedding Venue Roman Catholic Church Non-Catholic Church Before Civil Official
  
  Name of the place where the wedding took place Please enter valid data.
  
  Street address where the wedding took place 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.
  
  Was this marriage Convalidated? This means the couple came to the Catholic Church after being married outside the Church, did a Catholic marriage preparation program, and had a Catholic ceremony in the church to convalidate the marriage.) Yes No
  
  Officiant Please enter valid data.
  
  How did this Marriage end? Divorce Death
  
  If this marriage was annulled, who issued the annulment? Catholic Church Civil Court
  
  Feel free to add anything you feel would be important for the RCIA team to know.
  
  Submit
  
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Our Lady of Victory Catholic Church

Crestview, FL

RCIA Registration

Pre-Initiation Inventory