R.C.I.A Registration

Please visit https://holyfamilyparishpueblo.org/rcia/ for more information

Event Address: 2827 Lakeview Ave. Pueblo, CO. 81005
For class start times or if you have any questions, please contact Carol Martinez at 719-250-9073.

Note: Please fill out this form for each candidate.

This form is to be used for:

- Unbaptized Adult Converts
- Unbaptized Children of Catechetical Age (above age 7)
- Baptized but Uncatechized Adults and Children of Catechetical Age(Catholic or Non-Catholic) Preparing for Confirmation and Eucharist
- Baptized Christian(Non-Catholic) Candidates for Reception in the Full Communion of the Catholic Church

You will receive a confirmation of your completed form after you click the submit button at the end.
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Email *
Full Name *
Address *
Phone Number *
Date of Birth *
MM
/
DD
/
YYYY
Place of Birth *
Place of Baptism(Church, City, Zip)
Father's Name
Mother's Maiden Name
Have you been baptized? *
Date of Baptism if known
MM
/
DD
/
YYYY
Have you received First Communion? *
Date of First Communion if known
MM
/
DD
/
YYYY
Have you been Confirmed? *
Date of Confirmation if known
Godparents Names (for those already baptized)
Sponsor One
Sponsor Two
Have you been Married? *
Required
Use this section if you have any comments/questions for the RCIA team.
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