RCIA Interest Form

Name and Contact Information

First

Middle

Last

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Phone Number

E-Mail Address

Age

Have you been baptized?

Yes

No

What Christian Denomination?

I am interested in

Learning more about the Catholic faith

Becoming Catholic (I am not baptized)

Becoming Catholic (I am already a baptized Christian)

Completing the Sacraments of Initiation

Holy Eucharist and/or Confirmation (I am a baptized Catholic)

Other…