Inquiry Form
CHRISTIAN INITIATION OF ADULTS
The information below will be kept confidential.
Name_________________________________________________________________________________
(first) (middle) (last) (maiden)
Address_______________________________________________________________________________
(street) (city & state)
Home phone__________________ Cell phone __________________ Work phone__________________
Birth Date______________ Birthplace_______________________________________________________
Father’s name_________________________ Mother’s maiden name_______________________________
Baptized?____ Date:______________ Place:_____________________________________
(Church name - denomination - city - state) Eucharist? ____ Date:______________ Place: ____________________________________
(Church name - denomination - city - state)
Confirmed? ____ Date:______________ Place: ___________________________________________
(Church name - denomination - city - state)
Please provide your baptismal certificate.
Are you presently married? _______
If Yes: Spouse’s name_______________________________________________________________
(first) (middle) (last) (maiden)
Where you married in a church? ________
If yes: Where? ______________________________________________________________________
(church name) (denomination) (city/state)
Have you been previously married?__________ Has your spouse been previously married?____________
Other information regarding marital status:_______________________________________________________
Members of immediate family:
Name Relationship Baptized
For Office Use Only
Godparent(s) name ______________________________________________________________________
Confirmation Sponsor(s) name ____________________________________________________________
Confirmation name(s) ____________________________________________________________________
On reverse side please describe what brought you to this point in your life and what you are seeking from the Church.