RCIA New Candidate
RCIA NEW CANDIDATE
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Email *
FIRST NAME *
LAST NAME *
CELL PHONE *
STREET ADDRESS *
TOWN/CITY *
STATE *
ZIP CODE *
CHURCH OF BAPTISM/TOWN/STATE
DATE OF BAPTISM
MM
/
DD
/
YYYY
CHURCH/TOWN OF FIRST HOLY COMMUNION
DATE OF FIRST HOLY COMMUNION
MM
/
DD
/
YYYY
AGES OF THOSE INTERESTED (CHECK ALL THAT APPLY) *
Column 1
OVER 18 YEARS OLD
UNDER 18 YEARS OLD
MULTIPLE FAMILY MEMBERS ADULT & CHILDREN
CURRENT DATE *
MM
/
DD
/
YYYY
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