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Inquirer Intake Form

- The maximum number of form submissions has been reached. This form is currently not available.
  
  Please answer a few questions to help us assist you with your class placement and other needs.
  Some of the requested information will help us create sacrament certificates for you in the future, should you complete your initiation in the Church. After filling out the form, we will contact you to discuss next steps.
  
  Biographical Info and Religious Background
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Email REQUIRED Please fill out this field. Please enter valid data.
  
  Phone Number REQUIRED
  
  Please fill out this field. Please enter a phone number.
  
  Address (Street/City/State/Zip) REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  City & State of Birth Please enter valid data.
  
  Have you been baptized? REQUIRED Yes No Unsure Please fill out this field.
  
  Date/Location/Denomination of Baptism
  Approximate as needed
  Please enter valid data.
  
  Marital Status REQUIRED Please fill out this field.
  
  If married or engaged, have you or your fiance/spouse been married previously? REQUIRED Yes No Not married or engaged Please fill out this field.
  
  Maiden Name (if applicable) Please enter valid data.
  
  Father's Full Name and Mother's Full Maiden Name (to be used for your eventual sacramental record) REQUIRED
  Full name of your father and full maiden name of your mother (for your eventual sacrament records)
  Please fill out this field. Please enter valid data.
  
  Describe your religious upbringing and practice (if any) - religions/denominations, how long, prayer life, relationship with God/Jesus, etc. REQUIRED Please fill out this field.
  
  What exposure have you had to Catholicism (study, Mass attendance, sacraments), and how long have you considered it? REQUIRED Please fill out this field.
  
  What are some Catholic teachings you are already comfortable with? (Eucharist, confession, papacy, Marian doctrines, purgatory, saints, etc.) REQUIRED Please fill out this field.
  
  What Catholic teachings are you NOT yet comfortable with? REQUIRED Please fill out this field.
  
  Can you attend classes Sunday mornings? Wednesday evenings? Describe any schedule limitations. REQUIRED Please fill out this field.
  
  List name/relationship of family members or friends who might attend classes eventually (list children's ages)
  
  Other Comments
  
  Submit

Inquirer Intake Form

Please answer a few questions to help us assist you with your class placement and other needs.