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RCIA Registration Form

- RCIA Registration Form 2021/2022
  
  The maximum number of form submissions has been reached. This form is currently not available.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Street Address REQUIRED Please fill out this field. Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  Home Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Cell Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Email Address REQUIRED Please fill out this field. Please enter an email address.
  
  Your Birthday Date REQUIRED Please fill out this field. Please enter valid data.
  
  Place of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Baptismal Date Please enter valid data.
  
  Baptismal Church/City Please enter valid data.
  
  Religious Affiliation Please enter valid data.
  
  Father's First and Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Mother's First and Maiden Name Please enter valid data.
  
  Marriage Status REQUIRED Please fill out this field.
  
  If divorced or remarried, are you in need of an annulment?
  
  An Annulment takes about a year to process. If you are in a second marriage, you must talk to Fr. Conor about the annulment process as soon as possible.
  
  Spouse's First and Last Name Please enter valid data.
  
  Spouse's Email Please enter valid data.
  
  Reason for Beginning RCIA Process (please check one) REQUIRED Please fill out this field.
  
  Office Use Only:
  
  SPONSOR____________________________________________________________
  
  CONFIRMATION NAME__________________________________________________
  
  Submit
  
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