Reception of a Candidate into the Catholic Church Who Has Been Baptized in Another Christian Tradition Candidate's Legal Name as Stated on Their Birth Certificate Candidate's Legal First Name * Candidate's Legal Middle Name Candidate's Legal Last Name * Candidate's Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Candidate's Date of Birth * MM DD YYYY City & State of Birth * Gender of Candidate * Male Female Candidate's Date of Baptism * **Please Provide a Copy of Original Baptismal Certificate If Possible** Candidate's Church of Baptism * Primary Email for Correspondence * Primary Phone# * (###) ### #### Father's Legal First Name * Father's Legal Middle Name Father's Legal Last Name * Father's Religion * Mother's Legal First Name * Mother's Legal Middle Name Mother's Legal Last Name * Mother's Maiden Name * Mother's Religion * Parents' Date & Place of Marriage * Full Name of Catholic Sponsor Sponsor's Email Sponsor's Phone# (###) ### #### Are you registered parishioners of St. John? * Yes No If not, would you like to receive registration materials? Yes No For Church Use Only: Date of Reception into Catholic Church: __________________________________ Priest: ___________________________________________________________ Recorded in Official Church Book: _______________________________________ Thank you!
