RCIA/Pre-registration
Your registration is not complete until all of your documents have been submitted. Once this form is completed, you will receive a call or email from Connie D'Agostino at the rectory office to complete your registration. You must be at 18 years old or older. If you are looking for the CCD program registration for, please use this link: https://forms.gle/cxrFHuYgjKXvTUHf7
Email address *
Full Name *
Date of Birth *
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DD
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YYYY
Address *
Your complete address with City, State & Zip
Phone number *
Program *
Which of the following scenarios best describes you?
A copy of your responses will be emailed to the address you provided.
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