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RCIA Registration Form

- Faith Formation

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- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Address REQUIRED Please fill out this field. Please enter valid data.
- City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
- Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Email REQUIRED Please fill out this field. Please enter an email address.
- What religion are you currently practicing? REQUIRED Please fill out this field. Please enter valid data.
- Are you baptized? REQUIRED Yes No Please fill out this field.
- If baptized, what religion? Please enter valid data.
- Church where you were baptized Please enter valid data.
- City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
- Baptism Date Please enter valid data.
- Fathers full name REQUIRED Please fill out this field. Please enter valid data.
- Mothers full Maiden Name REQUIRED Please fill out this field. Please enter valid data.
- Spouse Name Please enter valid data.
- Spouse Religion Please enter valid data.
- Spouse Phone Number Maximum 20 characters Please enter a phone number.
- Children and ages
- If you are married, has your marriage been blessed by the Catholic church? Yes No
- If this is your second marriage, have you received an annulment? Yes No
- If this is your spouse/fiancé's second marriage, have they received an annulment? Yes No
- RCIA Sponsor Name REQUIRED Please fill out this field. Please enter valid data.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Qualifcations for an Adult Sponsor for Confirmation
  
  Must be at least 18 years old and a Confirmed practicing Catholic and NOT a parent of the candidate
  
  Must be living a moral lifestyle, a good example, involved in Parish life, attend Sunday Mass and receive Communion regularly.
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Sacred Heart Parish

Spencer, Iowa

RCIA Registration Form