RCIA Inquiry Form Name * First Name Last Name Address Address 1 Address 2 City State/Province Zip/Postal Code Country Email * Phone * (###) ### #### Date of Birth * MM DD YYYY Place of Birth * Are you baptized? * Yes No Church of Baptism Name Address of Church of Baptism Address 1 Address 2 City State/Province Zip/Postal Code Country Relationship Status * Single Engaged Married Divorce Separated Widow/Widower If married: Spouse's Name First Name Last Name Do you have a previous marriage? * Yes No If you have children, please list their names and ages If you had a previous marriage, is this marriage annulled? Yes No I am unsure Please describe your faith background * What is the reason for your interest in RCIA? * Any additional comments Thank you for reaching out! Our wedding coordinator will be in touch soon. In the meantime, please review the St. Agnes Wedding Guidelines.
