• RCIA Registration for the 2021-2022 year

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  • PERSONAL INFORMATION
    • First Name REQUIRED Please fill out this field. Please enter valid data.
    • Middle Name REQUIRED Please fill out this field. Please enter valid data.
    • Last Name REQUIRED Please fill out this field. Please enter valid data.
    • Birthdate (DD/MM/YYYY) REQUIRED Please fill out this field. Please enter valid data.
    • Email REQUIRED Please fill out this field. Please enter an email address.
    • Cell Phone Number REQUIRED Please fill out this field. Please enter a phone number.
    • Address REQUIRED Please fill out this field. Please enter valid data.
    • City REQUIRED Please fill out this field. Please enter valid data.

      State REQUIRED AK AL AR AS AZ CA CO CT DC DE FL GA GU HI IA ID IL IN KS KY LA MA MD ME MH MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA PR PW RI SC SD TN TX UT VA VI VT WA WI WV WY Please fill out this field.

      Zip REQUIRED Please fill out this field. Please enter a zip code.
  • PARENT INFORMATION
    • Father's First Name Please enter valid data.
    • Father's Middle Name Please enter valid data.
    • Father's Last Name Please enter valid data.
    • Father's Last Name Please enter valid data.
    • Mother's First Name Please enter valid data.
    • Mother's Maiden Name Please enter valid data.
  • BAPTISM INFORMATION
    • Date of Baptism REQUIRED Please fill out this field. Please enter valid data.
    • Church Name/Denomination REQUIRED Please fill out this field. Please enter valid data.
    • Baptism Church Address REQUIRED Please fill out this field. Please enter valid data.
    • City REQUIRED Please fill out this field. Please enter valid data.

      State REQUIRED AK AL AR AS AZ CA CO CT DC DE FL GA GU HI IA ID IL IN KS KY LA MA MD ME MH MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA PR PW RI SC SD TN TX UT VA VI VT WA WI WV WY Please fill out this field.

      Zip REQUIRED Please fill out this field. Please enter a zip code.
    • Godparents REQUIRED Please fill out this field. Please enter valid data.
    • Celebrant REQUIRED Please fill out this field. Please enter valid data.
  • CONFIRMATION INFORMATION
    • Date of Confirmation REQUIRED Please fill out this field. Please enter valid data.
    • Church Name REQUIRED Please fill out this field. Please enter valid data.
    • Church Address REQUIRED Please fill out this field. Please enter valid data.
    • City REQUIRED Please fill out this field. Please enter valid data.

      State REQUIRED AK AL AR AS AZ CA CO CT DC DE FL GA GU HI IA ID IL IN KS KY LA MA MD ME MH MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA PR PW RI SC SD TN TX UT VA VI VT WA WI WV WY Please fill out this field.

      Zip REQUIRED Please fill out this field. Please enter a zip code.
    • Confirmation Sponsor REQUIRED Please fill out this field. Please enter valid data.
    • Sponsor Email REQUIRED Please fill out this field. Please enter an email address.
    • Sponsor Cell Phone Number REQUIRED Please fill out this field. Please enter a phone number.
    • Confirmation Saint REQUIRED Please fill out this field. Please enter valid data.
    • Confirmation Celebrant REQUIRED Please fill out this field. Please enter valid data.

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