Your title:Mr./Mrs./Ms./Miss:

Last name:

First name:

Middle name:

Address:

City:

State/Country:

Zip code:

Telephone Number with area code ( ):

E-mail address:

Date of Birth:

Marital Status:

Where baptized:

Where confirmed:

(A copy of your baptismal certificate will be required before you can Pledge to the Rule for life.)

Have you read the Rule and Statutes of the Brothers and Sisters of Penance of St. Francis?

Do you understand that only Catholics who accept all the teachings of the Roman Catholic Church and remain in union with the Pope and Magesterium of the Catholic Church can become official members of this Association?

If you are not of the Catholic faith you may be accepted as an Associate member Of the Brothers and Sisters of Penance on the condition that you understand that lessons of formation will be Catholic in orientation. Do you understand this?

Do you have spousal approval to begin the inquirer process?

The BSP is consecrated to Mary, the Mother of Jesus. How do you feel about this? (Brief reply)

Do you have any questions about the BSP?

If Yes above, would you like to have someone call you to discuss the BSP?