+ Inquiry + Becoming Catholic + Confirmation +

How can we reach you?

Personal Name * 🛈

Middle Name(s)

Family Name * 🛈

What would you like to be called? 🛈

Email Address *

Phone Number

Street Address

Address Line 2

City

State

Zip Code

Tell us a little about yourself

Let us know how we can help you: *

I'm curious about Jesus and/or the Catholic Church (Inquiry)

I'm interested in becoming a Catholic (OCIA)

I am Catholic, but have not received Confirmation

I was raised Catholic, but have not been practicing for a while

I'd like to meet with someone one-on-one

Other Other

The following information is optional, but it helps us know where you're coming from and how we can help you better. Please fill out as much as you feel comfortable sharing. Thank you!

Date of Birth +

Gender

Female

Male

Other Other

What, if any, is your present religious affiliation?

Have you ever been baptized? *

Yes

No

I don't know

If yes, what denomination were you baptized? *

Date of Baptism? 🛈 +

Church and/or city, state, country where you were baptized? Please provide as much information as you know. *

How would you describe your marital status?

Single, never married	Engaged to be married
Married; this is the first marriage for both me and my spouse	Married; I or my spouse have had (a) previous marriage(s)
Divorced or widow/widower; I have not remarried	Other Other

If you are married, and if you or your spouse was baptized in a Catholic Church, were you married in a Catholic wedding (before a Priest or Deacon)? *

Yes

No

Other/I don't know Other/I don't know

If you are married, please provide name of Church or location of marriage. *

Do you have any questions or concerns you particularly want to discuss?

Thank you for sharing your journey with us! We look forward to getting to know you!