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(RCIA) Rite of Christian Initiation of Adults


To register please complete the form, and Ms. Coulon will contact you.


Personal Status
Title  
 *First Name  
MI  
 *Last Name  
 *Address  
 *City/State  
 *Zip Code  
 *Home Phone  
Work/Cell Phone  
Day Time Contact #  
Email  
Religious Background
Are You Baptized
 
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 *Church of Baptism  
Parent's Information
 *Father's Name  
 *Mother's Name  
Present Marital Status
Select all that apply
 
  Single- never married     Engaged     Married only once
  Presently separated     Divorced not remarried     Divorced and remarried
  Widowed
Date of Divorce  
Finance's Name  
Date of upcoming marriage  
Previous Marital Information
Previous Spouse's Name  
Children
Names and Ages  
Any Unbaptized Children
 
  Yes     No
 
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