Christian Marriage Certificate Form - DOC

							                                          Catholic Parish of St. Thomas More – Edmonton, Alberta

REGISTRATION FORM - RITE OF CHRISTIAN INITIATION OF ADULTS (RCIA)
(for an adult who is to be Baptized or who is making a Profession of Faith or one who is preparing for the Sacraments of Confirmation &/or Holy Eucharist)


The following certificates are required:
   Marriage Certificate (if applicable)
   Birth Certificate from Alberta Registries – Vital Statistics (long version - Cost approximately $40)
      o      (for Birth & Marriage certificates see Yellow pages under License for the nearest Registry Office. Eg: Riverbend Registry
             Services #201, 596 Riverbend Square 437-7355)
     Baptism Certificate (if applicable). (fax or photocopy from your Church of Baptism is sufficient.)

SECTION I – Inquirer’s Information:

Name: ____________________________________ Maiden Name:________________________
                         first - middle – last (as you would have on Certificate)          (if applicable)

Nickname (if different than first name) ____________________                                                      M __ F __

Address: ______________________________________________ Postal Code: _____________

Phone: _______________ Cell #: _____________ e-mail address _______________________

Place of Work: ______________________ Work Phone: ____________________

Date of Birth: _________________ Place of Birth: __________________________________________
                   dd mmm year (Eg: 15 Aug 1982 NOT 15/08/82!!)                                city/province/country

Father’s name: ____________________________                                                    His religion: _______________________
                                        First, last

Mother’s name: ________________________ Maiden name:______________Her religion:________________
                                         First, last (now)

Have you ever been baptized/Christened in any religious denomination? _______(y/n)

If so, which denomination: _________________________________ (example: Lutheran, Anglican…)

where: _______________________________________________________ Date: _________________
                         name of Church, city, province, country                                                                          dd mmm year (Eg: 15 Aug 1982 NOT 15/08/82!!)


Are you married?: ______(y/n).

     If yes, who presided at your wedding? Priest____, Non-Catholic minister ____, Justice of Peace____,
      other___________________.
     If either you or your spouse is Catholic and you were not married by a Priest in a Catholic Church, did you ask
      for & receive dispensation?_____(y/n).
     If not, have you received a Sanation or Convalidation (“blessing”) of your marriage? (bringing it into the
      Catholic Church)_____(y/n)

Spouse’s name: ______________________ Spouse Baptized?_____(y/n) Denomination:__________________
                                         First, last

Date of marriage: _________________ where:_____________________________________________________
                    dd mmm year (Eg: 15 Aug 1982 NOT 15/08/82!!)                name of Church;                        denomination                          city/prov/country

Previous Marriages: Were you ever married before?: ______(y/n).
                     Was your spouse ever married before:_______(y/n)
       If yes, please give details of all previous marriages including those of your current spouse
       using the form at Section II

Please list your children, starting with the oldest:
___________________________________________________________________________________________

                                                                                                                       Filename: 342f1d38-52a3-4c43-891a-b50bcdf7f591.doc
                                                                                                                                             Document dated: 27 May 2010
                                   Catholic Parish of St. Thomas More – Edmonton, Alberta

SECTION II – Previous Marriage Information (for Inquirer and Spouse as applicable):
(For each of your previous marriages, the following information is needed. Copy Section II as required.)

PREVIOUS MARRIAGE #______ (1 is most recent, 2 is second most recent etc)

Name: ________________________________ Inquirer or Spouse? (circle one)
                              first - last

1.       Date of marriage: ___________________ City, Province of marriage: _____________________

2.       How were you married? (circle one)

         (Catholic Church, Christian Church, Justice of the Peace, other________________________)

3.       Your previous spouse’s name: _________________________________________________
                                                          first - last

4.       Is your previous spouse still living?                                 Yes        No          Not sure

5.       Was this a first marriage for your previous spouse?                   Yes        No

6.       Was your previous spouse baptized?                   Yes        No Denomination? _______________

7.       Are you divorced?                   Yes     No       Pending

8.       Have you received a declaration of nullity?                     Yes   No         Pending

9.       What diocese granted the declaration of nullity, or is currently processing the request?
         _________________________________________________________________________


PREVIOUS MARRIAGE #______ (1 is most recent, 2 is second most recent etc)

Name: ________________________________ Inquirer or Spouse? (circle one)
                    first - last

1.       Date of marriage: ___________________ City, Province of marriage: _____________________

2.       How were you married? (circle one)

         (Catholic Church, Christian Church, Justice of the Peace, other________________________)

3.       Your previous spouse’s name: _________________________________________________
                                                          first - last

4.       Is your previous spouse still living?                                 Yes        No          Not sure

5.       Was this a first marriage for your previous spouse?                   Yes        No

6.       Was your previous spouse baptized?                   Yes        No Denomination? _______________

7.       Are you divorced?                   Yes     No       Pending

8.       Have you received a declaration of nullity?                     Yes   No         Pending

9.       What diocese granted the declaration of nullity, or is currently processing the request?
         ________________________________________________________________________



                                                                                    Filename: 342f1d38-52a3-4c43-891a-b50bcdf7f591.doc
                                                                                                          Document dated: 27 May 2010
                    Catholic Parish of St. Thomas More – Edmonton, Alberta

RCIA RECORD OF CONVERSATION


DATE/TIME       BETWEEN          SUBJECT & OUTLINE                ACTION REQUIRED




                                                                 Filename: 342f1d38-52a3-4c43-891a-b50bcdf7f591.doc
                                                                                       Document dated: 27 May 2010
                     Filename: 342f1d38-52a3- 4c43- 891a-b50bc df7f591.doc
                                                                                       Document dated: 27 May 2010