Online Registration Form

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

Last Name REQUIRED Please fill out this field. Please enter valid data.
Sex REQUIRED Male Female Please fill out this field.
Date of Birth 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.
Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
Email REQUIRED Please fill out this field. Please enter an email address.
Your Father's Name & religion REQUIRED
Please state your father's full name and what religion. If catholic please let us know what rite: ex. Roman Rite.
Please fill out this field. Please enter valid data.
Your Mother's Name & religion REQUIRED
Please state your Mother's full name and what religion. If catholic please let us know what rite: ex. Roman Rite.
Please fill out this field. Please enter valid data.
Baptism Information
- Were you ever Baptized? REQUIRED Yes No Please fill out this field.
- In what religion or denomination were you baptized? Please enter valid data.
- In what parish? Please enter valid data.
- Date of Baptism Please enter valid data.
Confirmation Information
- Did you ever do your Confirmation? REQUIRED Yes No Please fill out this field.
- In what religion or denomination were you Confirmed? Please enter valid data.
- In what parish? Please enter valid data.
- Date of Confirmation Please enter valid data.
First Communion Information
- Have you done your First Communion? REQUIRED Yes No Please fill out this field.
- In what religion or denomination did you receive First Communion? Please enter valid data.
- In what parish? Please enter valid data.
- Date of First Communion Please enter valid data.
- Have you ever been received as a catechumen or candidate in the Catholic Church? REQUIRED Yes No Please fill out this field.
- What parish and date Please enter valid data.
- What was the reason you did not finish the program? Please enter valid data.
Marriage Information
- Have you ever been married? (Civil or religious) REQUIRED Yes No Please fill out this field.
- Are you currently married? (Civil or religious) REQUIRED Yes No Please fill out this field.
- Name of current spouse Please enter valid data.
- Did your current marriage take place in the Catholic Church? REQUIRED Yes No I am not married Please fill out this field.
- If no, in what religion or denomination? Please enter valid data.
- Date of current marriage Please enter valid data.
- Place in which marriage took place (city, state, country ) Please enter valid data.
- Name and title of the Officiant Please enter valid data.
- Please write the names of all your children Please enter valid data.
- Before your current marriage, have you ever been married with another person, whether in a church, mosque, or civil? REQUIRED Yes No Please fill out this field.
Previous Marriage(s) Information
- Are you currently married? (Civil or religious) REQUIRED Yes No Please fill out this field.
- Information about previous marriages
  Please indicate the name(s), dates of duration, what religion/denomination of the marriage and the name and title of the ceremony officiant for each marriage.
  Please enter valid data.
- Has your ex-spouse passed away? REQUIRED Yes No Does not apply to me Please fill out this field.
- Date of Death Please enter valid data.
- Do you have a death certificate? REQUIRED Yes No Does not apply to me Please fill out this field.
- Have any of your previous marriages been declared null by the church? REQUIRED Yes No Does not apply to me Please fill out this field.
- Please indicate the (arch)Dioceses, Protocol #, and Date it was declared null. If more than one please make sure to indicate Please enter valid data.
Spiritual Information
- How would you describe your relationship with God? REQUIRED Please fill out this field.
- How would you describe your prayer life with Jesus? REQUIRED Please fill out this field.
- How would you describe your relationship with the Catholic Church? REQUIRED Please fill out this field.
- Why do you feel called to receive full initiation with the Catholic Church at this moment? REQUIRED Please fill out this field.
- What was your family's and friends' reactions at hearing about your decision to receive all of your sacraments with the Catholic Church? REQUIRED Please fill out this field.
- Is anyone against or has worries about your choice? REQUIRED Please fill out this field.
- Do you have any worries or questions you would like to make? REQUIRED Please fill out this field.
- Who models the most attractive parts of the Catholic Faith for you? Why? REQUIRED Please fill out this field.
- How did you find St. Gerard Majella Church? Why did you come here? REQUIRED Please fill out this field.
- What attracts you the most to the Catholic faith? REQUIRED Please fill out this field.
- If I need to be baptized, do I have my birth certificate? REQUIRED Yes No Does not apply to me Please fill out this field.
- If I have been baptized or have received my First Communion, I have the corresponding certificates? REQUIRED Yes No Does not apply to me Please fill out this field.
- If I have been married before, do I have the marriage certificate, divorce decree, annulment decree? if ex-spouse has passed away do I have the death certificate? REQUIRED Yes No Does not apply to me Please fill out this field.
- If you are missing any documents please indicate them in this space Please enter valid data.
- I prefer the program in English or Spanish REQUIRED English Spanish Please fill out this field.

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St. Gerard Majella RC Church

A Parish of the Roman Catholic Diocese of Paterson

Online Registration Form