Online RCIA Inquirers Form

First Name REQUIRED Please fill out this field. Please enter valid data.

Middle Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.

Street address REQUIRED Please fill out this field. Please enter valid data.

City REQUIRED Please fill out this field. Please enter valid data.

State REQUIRED Please fill out this field.

Zip REQUIRED Please fill out this field. Please enter a zip code.

Date of birth REQUIRED Please fill out this field. Please enter valid data.

Place of Birth (City, State or Country) REQUIRED Please fill out this field. Please enter valid data.

Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Email REQUIRED Please fill out this field. Please enter an email address.

Marital Status REQUIRED Married Single Engaged Please fill out this field.

If Married, spouse's name REQUIRED Please fill out this field. Please enter valid data.

Have You Been Divorced? REQUIRED Yes No Please fill out this field.

Your Father's Name REQUIRED Please fill out this field. Please enter valid data.

Your Mother's Name REQUIRED Please fill out this field. Please enter valid data.

Your Mother's Maiden Name? REQUIRED Please fill out this field. Please enter valid data.

Have you been Baptized? REQUIRED Yes No Please fill out this field.

Your date of baptism (Month/Day/Year) REQUIRED Please fill out this field. Please enter valid data.

Your place of baptism? (Church Name and City and State) REQUIRED Please fill out this field. Please enter valid data.

Which sacraments do you wish to receive" REQUIRED Baptism First Communion Profession of Faith Confirmation Please fill out this field.

Potential sponsor's name? Please enter valid data.

Date REQUIRED Please fill out this field. Please enter a date.

There is a $25.00 fee for participants. This is the only fee that you will pay. You can drop a check off at the church office Monday - Thursday or bring it to our first session. This fee covers administration and materials.

St. Henry Catholic Church

Gresham, Oregon

Online RCIA Inquirers Form

RCIA - Inquirer's Information Form