RCIA Program 2022-2023
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First Name *
Last Name *
Maiden Name (if applicable)
Why are you interested in RCIA? (check as many boxes as apply)
Birthday *
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Street Address *
City *
State *
Zip Code *
Phone *
Email
Father's Name
Mother's Name
This course meets on MONDAYS during the school year, BEGINNING SEPTEMBER 13, and ending on May 23. Although there is no obligation or commitment by enrolling in this course, (It can be considered an "inquiry class" and a survey course for anyone interested in increasing their knowledge of the Catholic faith) it is organized as a complete introduction to the essentials of Catholic faith and life, and successful fulfillment of the course makes possible entry into the Catholic Church the Easter Vigil of April 15, 2022, for those who are prepared to do so. I am generally available to attend the Evening sessions on Monday nights from 7:30  to 9:00 PM, and intend to do so:
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ADDITIONAL COMMENTS (OPTIONAL - Please use the space for any additional questions, special circumstances, or information you would like to share received concerning this RCIA course)
What is your current religious affiliation, if any?
Do you have any previous religious affiliations? If so, which?
Baptism Date
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DD
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Denomination (Catholic, Lutheran, Episcopalian, etc)
Church of Baptism
Church of Baptism's Address (Street, City, Zip State/Country)
Preferred Language of Instruction
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Could you possibly take the course in English, if instruction in your preferred language were unavailable?
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Marital Status (please check all that are applicable)
If Married, please state how you were married. If married in another Denomination (Lutheran, Episcopalian, etc) please state in 'Other'
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Date or dates of marriage(s)
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