RCIA Registration 2023/2024

- Formation

Please complete and submit this registration form to participate in our RCIA program. You can also reach out to Ben Caduff, our Manaaging Director of Parish Ministries, with questions. His email is [email protected]. RCIA will be held on Sundays after the 10:30AM Mass and will begin October 8, 2023.
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- Name REQUIRED Please fill out this field. Please enter valid data.
- 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.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Date of Birth REQUIRED Please fill out this field. Please enter valid data.
- Place of Birth REQUIRED Please fill out this field. Please enter valid data.
- Father's Name REQUIRED Please fill out this field. Please enter valid data.
- Mother's Name REQUIRED Please fill out this field. Please enter valid data.
- Sacraments Received
  
  Baptism REQUIRED Please fill out this field.
  
  Name & Location of Parish Please enter valid data.
  
  Holy Communion REQUIRED Please fill out this field.
  
  Name & Location of Parish Please enter valid data.
  
  Confirmation REQUIRED Please fill out this field.
  
  Name & Location of Parish Please enter valid data.
- Marital Status REQUIRED Please fill out this field.
- Faith of Spouse
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