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RCIC GENERAL INFORMATION FORM GENERAL INFORMATION ...

RCIC GENERAL INFORMATION FORM GENERAL INFORMATION ...

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<strong>RCIC</strong> <strong>GENERAL</strong> <strong>IN<strong>FORM</strong>ATION</strong> <strong>FORM</strong><strong>GENERAL</strong> <strong>IN<strong>FORM</strong>ATION</strong>Child’s Full Name______________________________________________________________First Middle LastDate of Birth__________________________________________________________Month Day YearPlace of Birth_____________________________________________________________CityStateChilds Grade Level:___________ School:__________________________Child’s Residence____________________________________________________________Street City StateFather’s Name_______________________________________________________________First Middle LastPhone:_____________________ Cell:____________________________Email: ___________________ Religious Affiliation:_____________________Mother’s Name________________________________________________________________First Middle LastPhone:______________________ Cell:_________________________


Email: _________________ Religious Affiliation:_________________________Child lives with: ____Parents____Mother only ____Father only___Other(please explain.SACRAMENTAL <strong>IN<strong>FORM</strong>ATION</strong>Have you been Baptized? ___ yes ___noChurch of Baptism/Denomination____________________________________________________________Street Address of baptismal church____________________________________________________________City State ZipDate of Baptism____________________________________________________________Month Day Year**Please submit a copy of your Baptismal Certificate at the first class.FOR OFFICE ONLY:___________<strong>RCIC</strong>_____________<strong>RCIC</strong>-First Communion

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