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Catechumenate Program 2018 - 19
Curé of Ars Parish
Registration for Inquirers

For Office Use Only

For Office Use Only. Please do not enter information.

Catechumen Candidate Confirmation

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.

Telephone

Home Please enter a phone number.
Cell REQUIRED Please fill out this field. Please enter a phone number.
Work Please enter a phone number.

Email Address REQUIRED Please fill out this field. Please enter an email address.

Date of Birth REQUIRED Please fill out this field. Please enter a date.

Place REQUIRED Please fill out this field. Please enter valid data.

Father’s Name Please enter valid data.

Mother’s Name (maiden) Please enter valid data.

Have you ever been baptized? Yes No

If “yes” where were you baptized?

Date of Baptism Please enter valid data.
Age at time of baptism Please enter valid data.
Name of Church Please enter valid data.
City, State of Church Please enter valid data.

Have you received First Holy Communion? Yes No

Were you confirmed? Yes No

Will someone be coming with you to the sessions? Yes No

If “yes”: REQUIRED Please fill out this field. Please enter valid data.

Do you know any members of this church community? Yes No

Names REQUIRED Please fill out this field. Please enter valid data.

Sponsor Please enter valid data.

Parish Sponsor Please enter valid data.

Options

For Office Use Only. Please do not enter information.

Recorded Baptism POF Confirmation Communion Received into the Church Easter Vigil Other

Current Marital Status REQUIRED Please fill out this field.

Were you ever married before? Yes No

Divorced? Yes No

Has your marriage been annulled by the Catholic Church? Yes No

If you are married or engaged:

Church of marriage Please enter valid data.
Place of marriage Please enter valid data.
Name of spouse or fiancée Please enter valid data.

Is this your first marriage? Yes No

Is this your spouse’s/fiancée’s first marriage? Yes No

Is your spouse/fiancée Catholic? Yes No

How did you hear of this Catechumenate Program? Friend Spouse/Fiancée Church bulletin

Other: REQUIRED Please fill out this field. Please enter valid data.

Have come to this Catechumenate Program because I feel definite that I want to become Catholic. I think that I might want to become Catholic. I’m just interested, but not sure that I want to become Catholic. I don’t want to become Catholic, but want to know what they believe. It is important to my spouse that I attend. I was baptized Catholic, yet never received First Eucharist. I was baptized Catholic, yet never was confirmed into the Church.

Describe your religious training and education Please enter valid data.

Please give the names and ages of your children Please enter valid data.

We have religious education programs for children. Do you want them enrolled? Yes No

Do you know of someone who would be interested in this program, either for this year or for future programs? Yes No

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.

Address Please enter valid data.

City Please enter valid data.

State

Zip Please enter a zip code.

Email Address REQUIRED Please fill out this field. Please enter an email address.

Phone Number REQUIRED Please fill out this field. Please enter a phone number.

I Agree Please select this field.