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About
Job Openings
Media
Bike Race
Home
Mass Times
100th Anniversary
Donate
Connect
Welcome
Publications
Newman House
About
OCIA
Name
*
Date of Birth
*
MM
DD
YYYY
Place of Birth (City and State)
*
Father's Name
*
First Name
Last Name
Mother's Maiden Name
*
First Name
Last Name
RCIA Sponsor Name
First Name
Last Name
Baptism
*
Unbaptized
Baptized Catholic or in other Christian ecclesial community
Church of Baptism
Please include name of church, city, and state
Date of Baptism
MM
DD
YYYY
Minister Name
Currently married or married in the past?
*
Yes
No
Spouse Name
Please include spouse maiden name in parentheses if applicable
First Name
Last Name
Date of Marriage
MM
DD
YYYY
Place of Marriage
Please indicate church (or courthouse, etc.) as well as city and state
Officiant of Marriage
Comments
Thank you!
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