RCIA Information Sheet Candidates

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  Name (Nombre) of Candidate REQUIRED Please fill out this field. Please enter valid data.
  
  Address (Dirección) 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 (Fecha de Nacimiento) REQUIRED Please fill out this field. Please enter valid data.
  
  Place of Birth (Lugar de Nacimiento) REQUIRED Please fill out this field. Please enter valid data.
  
  Age (Edad) REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Baptism (Fecha de Bautismo) REQUIRED Please fill out this field. Please enter valid data.
  
  Church of Baptism (Iglesia del Bautismo) REQUIRED Please fill out this field. Please enter valid data.
  
  Address of Church where Baptized (Dirección de la Iglesia Donde Fue Bautizado) REQUIRED Please fill out this field. Please enter valid data.
  
  Name of Birth Father (Nombre del Padre) REQUIRED Please fill out this field. Please enter valid data.
  
  Name of Birth Mother (Nombre de la Madre) REQUIRED Please fill out this field. Please enter valid data.
  
  Mail the Certificate to (Envíe el Certificado a): 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.
  
  Name of Sponsor(s) for Sacrament being Celebrated (Nombre del Padrinos para el Sacramento va a Celebrar) REQUIRED Please fill out this field. Please enter valid data.
  
  FOR OFFICE USE ONLY
  
  Date of First Eucharist Please enter valid data.
  
  Date of Confirmation Please enter valid data.
  
  Entered in Parish Registry Please enter valid data.
  
  Information Sent to Church of Baptism Please enter valid data.
  
  Administered by: Fr. Please enter valid data.
  
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RCIA Information Sheet Candidates

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