Adult Inquirer Information Form

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First Name Please enter valid data.
Middle Name Please enter valid data.
Last Name Please enter valid data.
Maiden Name (if applicable) Please enter valid data.
Date of Birth Please enter valid data.
Place of Birth Please enter valid data.
Name of Father Please enter valid data.
Name of Mother Please enter valid data.
I. Contact Information
Address Please enter valid data.
Phone Number Maximum 20 characters Please enter a phone number.
Email Please enter an email address.
Occupation Please enter valid data.
II. Religious History
What, if any, is your present religious affiliation? Please enter valid data.
Have you ever been baptized? REQUIRED Yes No I am not sure Please fill out this field.
If you answered "Yes" to the previous question, please provide the following information:
In what denomination were you baptized? Please enter valid data.
Date or your approximate age when you were baptized: Please enter valid data.
Baptismal Name (if different from current name): Please enter valid data.
Place of Baptism: Please enter valid data.
Address, if known: Please enter valid data.
Location, if known: Please enter valid data.
If you were Baptized as a Catholic, check those Sacraments you have already received: Confession Eucharist (1st Communion) Confirmation
III. Current Marital Status
Check the appropriate statement(s) below and provide any information requested REQUIRED I have never been married I am engaged to be married I am married I am married, but separated from my spouse I am a widow/widower and have not remarried since my spouses death I am divorced and I have not remarried Please fill out this field.
If you are Engaged or Married:
Your Fiancé/Spouse's Name: Please enter valid data.
Your Fiancé/Spouse's current religious affiliation (if any): Please enter valid data.
For you: This is my first marriage. I have been married before.
For your Fiancé/Spouse: This is his/her first marriage. He/she has been married before.
Date of Marriage Please enter valid data.
Place of Marriage Please enter valid data.
Officiating Authority of Marriage (civil government, non-Christian minister, Christian minister, Catholic cleric) Please enter valid data.
IV. Family Information
If you have any children or dependents please list them below. If not, leave this section blank.
- Children or dependents REQUIRED Please fill out this field.
- Children or dependents 1
  - Relationship (e.g. Daughter, Son, Stepson, etc.): Please enter valid data.
  - Name: Please enter valid data.
  - Age: Please enter valid data.
- Children or dependents 2
  - Relationship (e.g. Daughter, Son, Stepson, etc.): Please enter valid data.
  - Name: Please enter valid data.
  - Age: Please enter valid data.
- Children or dependents 3
  - Relationship (e.g. Daughter, Son, Stepson, etc.): Please enter valid data.
  - Name: Please enter valid data.
  - Age: Please enter valid data.
- Children or dependents 4
  - Relationship (e.g. Daughter, Son, Stepson, etc.): Please enter valid data.
  - Name: Please enter valid data.
  - Age: Please enter valid data.
- Children or dependents 5
  - Relationship (e.g. Daughter, Son, Stepson, etc.): Please enter valid data.
  - Name: Please enter valid data.
  - Age: Please enter valid data.
- Children or dependents 6
  - Relationship (e.g. Daughter, Son, Stepson, etc.): Please enter valid data.
  - Name: Please enter valid data.
  - Age: Please enter valid data.
- Children or dependents 7
  - Relationship (e.g. Daughter, Son, Stepson, etc.): Please enter valid data.
  - Name: Please enter valid data.
  - Age: Please enter valid data.
- Children or dependents 8
  - Relationship (e.g. Daughter, Son, Stepson, etc.): Please enter valid data.
  - Name: Please enter valid data.
  - Age: Please enter valid data.
- Children or dependents 9
  - Relationship (e.g. Daughter, Son, Stepson, etc.): Please enter valid data.
  - Name: Please enter valid data.
  - Age: Please enter valid data.
- Children or dependents 10
  - Relationship (e.g. Daughter, Son, Stepson, etc.): Please enter valid data.
  - Name: Please enter valid data.
  - Age: Please enter valid data.
V. General Questions
What or who has led you to want to know more about the Catholic Faith?
Please describe the types of religious education you have received, as a child and as an adult.
What contact have you had with the Catholic Church to date?
What are some of the questions or concerns you have about the Catholic Church?
At this point in time, which of the following statements best describes your present feelings and thoughts about the possibility of joining the Catholic Church? Please choose one. I need much more information about the Catholic Church before I would consider joining. I am considering joining, but I am still unsure about it. I am fairly sure that I would like to join, but I still need some time to study and pray about it. I am fairly sure that I want to join the Catholic Church.

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Saint Peter's
Catholic Church

Lindsay, Texas

Adult Inquirer Information Form

Adult Inquirer Information Form