Becoming Catholic Adult Registration&lt;br&gt;

Filling in this form will also start the process of enrollment at St. Alphonsus Liguori Parish.

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

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

Preferred Name (if other than first name) Please enter valid data.

Middle Name (answer N/A if you have no middle name) REQUIRED Please fill out this field. Please enter valid data.

Maiden Name (if applicable or N/A) REQUIRED Please fill out this field. Please enter valid data.

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.

Mobile 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.

Family Position REQUIRED Head of Household Spouse Adult Other Please fill out this field.

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

Gender REQUIRED Male Female Please fill out this field.

City and State of Birth REQUIRED Please fill out this field. Please enter valid data.

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

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

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

Primary Language REQUIRED English Spanish Other Please fill out this field.

Baptismal Status

Have you been baptized in the Trinitarian Form for the forgiveness of sins (with water, in the name of the Father, Son, and Holy Spirit)? REQUIRED Yes No I Don't Know Please fill out this field.

IF YOU ANSWERED YES... (Answer below or write unknown)

In which denomination were you baptized? Please enter valid data.

Name of Church Please enter valid data.

City Please enter valid data.

State

Zip Please enter a zip code.

Date of Baptism (or approximate date) Please enter a date.

Name of Baptismal Minister Please enter valid data.

Have you received your First Communion? REQUIRED Yes No Please fill out this field.

Marital Status

Please choose all that apply regardless if you were married in another faith tradition or by a justice of the peace. It is critical to answer all that apply so as not to delay the timing of your sacraments. REQUIRED

Check all that apply!

Single (never married) Engaged Married Widowed Separated Divorced Once (and remarried) Divorced Once (never remarried) Annulment Status: Received Annulment for First Marriage Annulment Status: Did not receive Annulment for First Marriage Please fill out this field.

If you need to give more detail regarding your marital status, please comment below.

If you are married, please fill out your spouse's information.

First Name Please enter valid data.

Preferred Name (if other than first name) Please enter valid data.

Last Name Please enter valid data.

Maiden Name (if appropriate) Please enter valid data.

Does your spouse live at the same address? Yes No

If no, please provide the address.

Mobile Phone Number Please enter valid data.

Email Please enter valid data.

Family Position Please enter valid data.

Date of Birth Please enter valid data.

Gender Male Female

Primary Language English Spanish Other

Religion Catholic Other

If other, please specify below. Please enter valid data.

Becoming Catholic Adult Registration

Baptismal Status

IF YOU ANSWERED YES... (Answer below or write unknown)

Marital Status

Children