Name of Father *

First Name

Last Name

Name of Mother *

First Name

Last Name

Text ok?

Yes

No

Have you ever been baptized? *

Yes

No

I am not sure

If you were baptized as a Catholic, chek the sacraments you have already received as a Catholic.

Reconciliation (Confession)

Eucharist (First Communion)

Confirmation

Check the appropriate statement(s) below and provide any information requested beneath each statement. *

I have never been married in any type of ceremony, religious or secular (civil)

I am engaged to be married.

I am married.

I am married, but separated from my spouse.

I am divorced and have not remarried.

I am a widow/widower and have not remarried since my spouse's death.