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RCIA - Inquiry Form

Thank you for your visit. In order for us to be of better assistance, please fill out this short form.

A member of our Parish will be contacting you to provide you with information.

MY GENERAL INFORMATION

First name *

Last name *

Date of Birth*

Street Address*  (including Apt. No. if applicable)

City *

State *

ZIP *

Email address*

Cellular Telephone Number *

Marital status *

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Format (nnn) nnn-nnnn

A LITTLE MORE ABOUT ME

I wish to obtain information because (please choose one of the following):*

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If baptized in a Christian denomination other than Catholic, my baptism took place in:

 (please enter the name of the church below - Orthodox, Adventist, Anglican, Episcopal, etc.) 

Your request has been successfully submitted. We will be contacting you soon. Thank you.

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