EmailMeForm
RCIA Registration
Parish of St John Paul II, Eccles
Use this form if you would like to enrol yourself (or your child above the age of 14) for the Adult Reception Programme (Rite of Christian Initiation of Adults). If you do not have all the details, you can save the form and complete it later. (Just click "Save & Resume Later" at the bottom of the form, and make a note of the web address you are given to come back to it). Essential fields are marked with an asterisk*
THIS PROGRAMME IS OPEN TO PEOPLE OVER THE AGE OF 14 WHO HAVE NOT BEEN BAPTISED IN A CATHOLIC CHURCH
Please read carefully the notes which accompany each of the questions, as these will give you a clearer picture of how the Programme will operate.
(The Programme begins in October - if you apply after it has begun, we may ask you to wait until the following year).
Applicant's name
*
First
Last
Applicant's title
Mr
Mrs
Ms
Dr
Other
Parent/carer's name if the applicant is under 18
First
Last
This is ONLY required if the applicant is under the age of 18 and can otherwise be left blank
Parent/carer's title
Mr
Mrs
Ms
Dr
Other
Only if required
Applicant's address
*
We ask for your address so that we can confirm your residence within the parish, and in case we may need it for contact purposes in connection with the programme.
Email address
*
We need your email address in order to acknowledge receipt of your application, and to keep in touch as the programme progresses.
Confirm Email
Phone number
*
As the programme progresses, we will need to contact you with information and updates and it is helpful if we can do this both by email and by phone.
Confirm phone number
Church of Baptism (only if applicable)
If you have been baptised in a non-Catholic Church, please let us know where. As the programme progresses, we will ask to see a copy of your Baptism Certificate. Otherwise, just leave this field blank.
Additional Note
After this form has been submitted, you will be contacted by a member of our team. We will need to ask you some questions to check that there is no impediment to your reception into the Church. Please be assured that the outcome of this conversation will be kept confidential
Signature
*
Clear
If you do not have a touch screen, just trace your signature with your mouse, like a pen. (Left-click to draw)
Your Privacy
All personally identifiable information on contact forms will be respected, in accordance with the policies of the Diocese of Salford and the parish of St John Paul II, Eccles. Our Privacy Policy can be viewed
here
Privacy Consent
*
I confirm that I have read the information above and accept the privacy policy
