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Middle Name
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Last name
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Address
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Email
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Home Phone
Cell Phone
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Date of Birth (YYYY-MM-DD)
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Age
Place of Birth
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Dad’s First Name
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Dad’s Middle Name
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Dad’s Last Name
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Mom’s First Name
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Mom’s Middle Name
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Mom’s Maiden Name
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Do you have a relative or know of someone who you would like to ask be your sponsor?
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Would you like the parish to provide a sponsor?
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Sponsor’s First Name
Sponsor’s Last Name
Phone number
Sponsor’s Address
Sponsor’s Parish (Name & Place)
Have You Been Baptized (A copy of your baptism certificate is required if you have been baptized)
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No
If Yes, Date of Baptism (YYYY-MM-DD)
Denomination
Place & Address
Have you received First Communion in the Catholic Church?
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No
Have you been Confirmed in the Catholic Church?
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No
If you are Catholic, have you been practicing your faith with regularity?
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No
Are you returning to the Church after a time away?
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No
If yes, how long?
Marital Status
Single
Married
Separated
Divorced
Are you in your 1st Marriage
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No
Is this your spouse’s 1st marriage?
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No
If this is your 1st marriage, were you married in the Catholic Church
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Yes
No
If not, where were you married and by whom?
2nd marriage for you?
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No
2nd marriage for spouse?
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No
If 2nd marriage, were you married in the Catholic Church?
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Yes
No
If not, where and by whom was your second marriage performed?
Was your 1st marriage annulled?
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No
Mother’s Religion
Father’s Religion
Spouse’s Religion
Children’s Religion
Do you have other family members who are practicing Catholics?
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No
What led you to this interest in the Catholic Church or this desire to pursue completion of sacraments in the
Church?
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Describe your personal spiritual journey?
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How would you describe your relationship with God?
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What attracts you to the Catholic Church or why is it important for you to pursue your initiation in the Church?
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What would you most like to learn or cover in our sessions?
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Do you have any unanswered questions about the Catholic Church?
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Is there anything about you or your life situation about which we should be aware?
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