Becoming Catholic - Adult Inquirer Information Form
Please fill out this form and click submit.
Inquirer Information
Name
*
Maiden Name (if applicable)
Email
*
This address will receive a confirmation email
Phone
*
Address
*
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AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
What is your current religious affiliation? Please list "None" if you are not currently affiliated with a specific religion.
*
Have you been baptized?
*
Please select one option.
YES
NO
I am not sure
If you were baptized as Catholic, please check any/all of the Sacraments that you have received:
Please select all that apply.
Reconciliation (Confession)
Eucharist (Communion)
Confirmation
What or who has led you to want to know more about the Catholic Faith?
*
Submit
Description
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