Becoming Catholic

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

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

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

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

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.

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

Marriage Status Please enter valid data.

Current Marriage Catholic ceremony Christian, but not Catholic Civil Ceremony Common Law Union Not Married

Children

Have you been baptized? Yes No Unsure

If yes, in what denomination? Please enter valid data.

Were you raised in a Christian family? Strongly Christian Occasional Church attendance Rare Church attendance Not Christian or no Church attendance

What is bringing you to the Catholic Church?