RCIAInquiry Form First Name Last Name Date of Birth Phone Number Email Address Address City State Zip Code Are you an adult (18+) seeking Baptism? Yes No Are you a baptized adult (18+) seeking the sacrament of Confirmation? Yes No If "Yes" above, what was the date and place/church of the baptism, including its city and state? What is your state in life? Single, never married Single and divorced Married with no previous marriages Married with previous marriage(s) Do you attend church at present? Yes No If "Yes" above, where? (name of church and city) Please briefly describe what has brought you to this point in your spiritual journey: Send