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RCIA/RICA Registration

- Religious Education (CCD)

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- REGISTRATION FORM
  Rite of Christian Initiation of Adults (RCIA) in St. Agnes is usually completed within a year. This can include the sacraments of Baptism, First Communion, and Confirmation.
  
  El Rito de Iniciación Cristiana de Adultos (RICA) en Santa Inés generalmente se completa en un año. Esto puede incluir los sacramentos del Bautismo, Primera Comunión y Confirmación.
  Registrant 1: Main Contact
- 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.
- Date of Birth (mm/dd/yyyy) REQUIRED Please fill out this field. Please enter valid data.
- Sacraments Received REQUIRED Baptism First Communion Confirmation None Please fill out this field.
- Sacraments to Prepare for this year REQUIRED Baptism Communion Confirmation None Please fill out this field.
- Certificates and Documents
- Please submit any and all certificates of every completed sacrament. They may include the following:
  -Birth Certificate*
  -Certificate of Baptism
  -Certificate of First Communion
  
  Proceed to upload the necessary documents by clicking the button below. Return to this form once complete.
  
  Upload Required Documents
- Emergency Contact
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Email Please enter an email address.
- Additional Information
- Registration Fee100.0
Total:

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SAINT AGNES

CATHOLIC CHURCH

RCIA/RICA Registration

REGISTRATION FORM

Registrant 1: Main Contact

Certificates and Documents

Emergency Contact