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St. Francis of Assisi Catholic Academy
RCIA Program Registration
RCIA Program Registration
RCIA Program Registration
First Name
Middle Name
Last Name
Date of Birth
Place of Birth
Have you been baptized?
Yes
No
If yes, date of baptism
Church of baptism
Comments
Father First Name
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Last Name
Mother First Name
Middle Name
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Maiden Name
Home Phone
Cell Phone
Email Address (Recommended)
Present Religious Affiliation (if any)
Sacrament(s) you are requesting:
Baptism
First Holy Communion
Confirmation
I am curious about the Catholic faith and not seeking any sacraments at this time.
Are you currently going to Mass?
Daily
Weekly
Monthly
Seasonally
None of the above
Please select current marital status
Single, never married
Divorced
Widowed
Married in Catholic Church
Married civilly or in another church
Engaged to be married
Children in the home?
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No
If yes, please complete all fields.
Last Name
Age
Relationship
Religion
First Name
Last Name
Age
Relationship
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Mass Times
St. Francis of Assisi - St. Blaise Parish
319 Maple Street, Brooklyn, NY 11225 | (718) 756-2015
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