RCIA Registration (2022/23)

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Thank you for your interest in RCIA with North Clark Community Catholic. We are in the process of setting our schedule for this year. Please complete the form below, and you will be contact by Jessica Sarver, Pastoral Associate, once the RCIA schedule has been set.

Full Name (include maiden name, if applicable) *

Date of Birth *

YYYY

Gender *

Female

Male

Country of Birth *

USA

Other:

Place of Birth (City, State) *

Home Address (Street, City, State, Zip) *

Cell Phone # *

Email (If you do not have email, put 'none.') *

RCIA Registration Type *

I am a non-Catholic, interested in entering the Catholic Church

I am a Baptized Catholic, but I never received the Sacrament of First Communion and/or Confirmation

I am a Baptized Catholic and have received all Sacraments of Initiation, but I am interested in learning more about and/or renewing my Catholic Faith

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