R.C.I.A Registration

Address *

Cell Phone

Area Code Phone Number
Home Phone

Area Code Phone Number
Preferred email *
example@example.com
Secondary email
example@example.com
Date of Birth *

Month Day Year
Date Date Picker Icon
Religious Background
Were you raised in a particular faith tradition? *
Have you been baptized? *
If so, at what church were you baptized
If you have been baptized, you will need to supply St. Ursula with a copy of your baptism certificate. In most cases, they may be obtained by calling the church where you were baptized.
Are you currently attending Saint Ursula Church? If not, where are you attending? *

Yes No
Our RCIA director will be in touch with you after this form is received to discuss the RCIA process with you, and to collect additional information.
Should be Empty:

Basic Information