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RCIA - Inquirer's Information Form
First Name
*
Middle Name
*
Last Name
*
Street Address
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City
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State
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Zip
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Home/Cell Phone
Work Phone
Your Birth Date
City/State
Email Address
Marital Status
Married
Single
Engaged
If married, spouse's name
Divorced?
Yes
No
Your Father's Name
Your Mother's Name
Mother's Maiden Name
Your date of baptism
Your place of baptism
Which sacraments do you wish to receive?
Baptism
First Communion
Confirmation
Profession of Faith
Sponsor's Name
If receiving the Sacrament of Confirmation, please list the saints you have chosen
