Roman Catholic Parish
of Christ the King

RCIA Registration Form

The following will give us the information we need to register you for RCIA this fall. You will recieve confirmation email and a phone call within two days of your registration.

Please fill out this form as completely as you can. Thank you.
(*Indicates essential information)

*Full Name: *Address:
*City: *Postal Code: *Phone Number:

*E-mail Address:

*Place of Birth:
*Date of Birth:Day: Month: Year:

*Baptized: Yes No
*Confirmed: Yes No
Denomination:
(NB:We will require a copy of your baptism certificate)

*Marital Status: Name of Spouse:

(if married in church)Name of Church:

(if married in church)Location of Church:

*Father's Full Name: Denomination:

*Mother's Full Name: Denomination:

*Mother's Maiden Name:

Names and locations of churches you have attended but did not list above:

Church Name: Location:
Church Name: Location:
Church Name: Location:
Church Name: Location:
Church Name: Location:
Church Name: Location:

Do you have Children?: Yes No

If yes, please list their names and ages:
Name: Age: Name: Age:
Name: Age: Name: Age:
Name: Age: Name: Age:
Name: Age: Name: Age:

Are They Baptized? Yes No
Denomination:

Why have you come to the church at this time? (Select the most appropriate answer)
I definately want to become Catholic.
I think I want to become Catholic.
I'm just looking...I'm not sure at this time.
I don't want to join, but just want to know what Catholics believe.
I'm Catholic, but have had little to no contact with the Church in the past few years.
I'm Catholic and want to update my faith.

Describe your religious training and education:

Who or what prompted you to inquire into the RCIA?

What members (if any) of this parish do you already know?

Please include any other information you were not able to above, and feel would be helpful for the pastoral team to have:

Thank-You for your registration!