RCIA Information Form

Family Information
Name including middle
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 If married, please add maiden name.
Are you registered parishioners at St. Martin de Porres?
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Birthdate //
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Address
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Phone Number -- ext
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Primary Email
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Sacrament Information
Were you Baptized?
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If so, where?
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 Name of church and city.
Date of Baptism  
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Celebrant's Name (if known)
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Were you Confirmed?
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If so, where?
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Date of Confirmation  
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Celebrant's Name (if known)
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Have you been married?
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If yes, where?
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Date of Marriage  
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Celebrant's Name (if known)
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Are you divorced?
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Have you had an annulment?
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Sponsor's Name (if known)
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Confirmation Name (if known)
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