RCIA Registration
General Information
Last Name *
Your answer
First Name *
Full Legal First Name
Your answer
Middle Name *
Your answer
Maiden Name (if applicable)
Your answer
Email Address
Your answer
Phone Number *
Your answer
Current Mailing Address *
Your answer
Background Information
We need some background information to be able to create sacramental records. Please be as complete as you are able to help us with this process. Thank you!
Date of Birth *
Your answer
Place of Birth *
City, State
Your answer
Father's Name *
Full Legal Name
Your answer
Mother's Name *
Full Legal Name
Your answer
Mother's Maiden Name (if applicable)
Your answer
Have you been baptized? *
Name and City of the Church of Baptism *
Your answer
Have you received the sacrament of First Communion in a Catholic Church? *
Name and City of the Church of First Communion *
Your answer
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