Rite of Christian Initiation for Adults (RCIA) Registration Form

Welcome to the RCIA Registration Online Page! Please fill out the online Registration.

For additional questions, please contact Mr. Rene Tolentino, RCIA Director at (rptolentino321@gmail.com or call the parish office (201-434-8500)

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RCIA Online Registration Form

Today's Date*
Fecha
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Candidate First and Last Name *
(Nombre y Apellido del Candidato)
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Address (Direccion)*
Address (Direccion)
City (Ciudad)
State (Estado)
Phone (Telefono)
Email
Postal Code (Codigo Postal)

Birthday (Month, Date and Year)*
Cumpleaños (mes, día y año)
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City and Country of Birth*
Ciudad y Pais de Nacimiento
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Your Mother's Name (Please include Maiden Name)*
El nombre de su Madre (incluya el apellido de soltera)
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Your Father's Name*
El nombre de tu Padre
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Birth Certificate (Su partida de nacimiento es necessaria)
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Max file size: 976.56 KB. | Allowed file types: gif,jpeg,png,jpg | Min number of file: 1
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Please check the sacrament(s) you are requesting to receive:*
Marque los sacramentos que solicita recibir:
Baptism (Bautizo)
Eucharist (Primera Communion)
Confirmation (Confirmacion)
All Three Above (Los tres arriba)

Current Martial Status *
Estado civil actual
Single, Never married (Soltera, nunca casada)
Married in the Catholic Church (Casada en la iglesia católica)
Civil Marriage (Casados civil)
Unmarried, Co-Habitating (Solteros, Conviviendo)
Divorced, or Widower (Soltero or Viudo)
Engaged (To be Married in the Catholic Church) Comprometida (Estar casada en la iglesia católica)

If you selected: Engaged above, please answer the following questions: Please write Yes. (If not, please write down 'N.A')*
Si seleccionó, comprometido arriba, por favor responda estas preguntas
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Selected (Engaged): When is your wedding date and what church? (If this does not apply to you, write N.A)*
Seleccionado (comprometido): ¿Cuándo es la fecha de su boda y en qué iglesia?
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Selected (Engaged): What is the name of your Fiancee? (If this does not apply to you, write N.A)*
Comprometido seleccionado: ¿Cuál es el nombre de su prometida? (Si esto no se aplica a usted, escriba N.A)
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Received Baptism in the Catholic Church? Please upload your certificate.
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Max file size: 976.56 KB. | Allowed file types: gif,jpeg,png,jpg | Min number of file: 1
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Are you Baptized in another Faith? Please upload the certificate.
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Max file size: 976.56 KB. | Allowed file types: gif,jpeg,png,jpg | Min number of file: 1
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First Name

Last Name

Email Address

Phone

Your form has been submitted
Thank you for registering for Rite of Christian Initiation for Adults (RCIA).
To follow up, please email Mr. Rene Tolentino, RCIA Director or contact the parish office (201-434-8500).
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