RCIA REGISTRATION FORM
St. Anthony Catholic Church
Co-Patron St. Victor
Tamuning, Guam Tel Nos. 646-7181—646-8044
All RCIA registrants for Baptism and/or Confirmation must submit the Sponsor Permit of their godparent.
All RCIA registrants for First Holy Communion and/or Confirmation must submit a copy of Baptismal Certificate.
Books required: New American Bible for Catholics
Outlines of the Catholic Faith (Revised Edition)
A Practical Approach to Christian Initiation for Adults
SACRAMENT/S TO BE RECEIVED: BAPTISM 1ST HOLY COMMUNION CONFIRMATION
NAME: ____________________________________________________________ PHONE: ____________________________
HOME ADDRESS: ______________________________________________________________________________________
MAILING ADDRESS: ____________________________________________________________________________________
E-MAIL ADDRESS: _____________________________________________________________________________________
PRESENT STATUS (check one only):
( _ ) Single
( _ ) Widowed
( _ ) Living as husband and wife without Sacramental Marriage
( _ ) Married
Type of Ceremony: ( _ ) Catholic
( _ ) Civil
( _ ) Other __________ Spouse’s Name: ________________________________
( _ ) Married but separated Date of Marriage: _______________________________
( _ ) Divorced Place of Marriage: ______________________________
( _ ) Was Married in the Catholic Church Spouse’s Religion: ______________________________
( _ ) Then Remarried Is your spouse supportive of your inquiry into Catholicism?
Type of Ceremony: ( _ ) Catholic ______________________________
( _ ) Civil
( _ ) Other __________
PLEASE TELL US ABOUT YOUR RELIGIOUS BACKGROUND
BAPTIZED? YES _____ NO _____ DATE: _______________ CHURCH: _________________________________
1ST HOLY COMMUNION? YES _____ NO _____ DATE: _______________ CHURCH: _____________________
CONFIRMED? YES _____ NO _____ DATE: _______________ CHURCH: _______________________________
YOUR PARISH ____________________________ MINISTRIE(S) ACTIVE IN _______________________________________
RELIGIOUS FORMATION (EXAMPLE: RETREATS, BIBLE STUDY)? _____________________________________________
PLEASE TELL US ABOUT YOURSELF
EDUCATIONAL ATTAINMENT _____________________________
NUMBER OF CHILDREN _____ RELIGION ______________ REL. FORMATION (EXAMPLE: CCD)? ___________________
HOW DID YOU KNOW OF THE RCIA PROGRAM? ____________________________________________________________
DO YOU KNOW ANYONE IN ST. ANTHONY—ST. CHURCH? YES _____ NO _____
IF YES, WHO? ___________________________________________________________________________________
SIGNATURE: _________________________________________________ DATE: ___________________________________
Revised June 2010
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FOR OFFICE USE ONLY
DATE OF REGISTRATION: ______________________________
DOCUMENTS RECEIVED: Baptismal Certificate
Sponsor Permit