Catechumen Registration Form Catechumen's Legal Name as Stated on Their Birth Certificate Catechumen's First Name * Catechumen's Middle Name Catechumen's Last Name * Gender * Male Female Catechumen's Date of Birth * MM DD YYYY City & State of Birth * Was the Catechumen baptized? * Yes No If yes, please explain. 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 * Parent's Marital Status * Parent's Date of Marriage MM DD YYYY Parent's Place of Marriage Family's Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Family's Phone # * (###) ### #### Family's Email Address * Is the family registered at St. John? * Yes No Full Name of Catholic Sponsor * Email Address of Sponsor * Thank you!
