Please enable JavaScript in your browser to complete this form. - Step 1 of 4Today's Date *RCIA Student *FirstLastI am: (check all that apply)DeafblindDeafHard of HearingC.O.D.A. or S.O.D.A.Hearing+ DisabilityI mostly useAmerican Sign Language to communicateOral method / Speech to communicateTactile Sign Language to communicateCheck all that apply *I have not been baptizedI have been BaptizedI have received First Holy CommunionI can readily give a copy of my baptismal certificate to the Church.NextAddress *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeEmail *EmailConfirm EmailPhone *VideophoneRCIA ProgramI understand that the RCIA program is a two year weekly committment.Attendance *I will come every week to religious education.I will come every week to religious education. I will attend the ASL Deaf mass at Christ Our Savior.NextRCIA Sponsor's NameFirstLastEmailEmailConfirm EmailPhoneSponsor's Faith (Check all that apply)Has received the Sacrament of ConfirmationIs a practicing Catholic (goes to Catholic church every week)Will attend all required Confirmation 2 meetings and eventsWill commit to a life long prayerful support of the Confirmation CandidatePreviousNextPlease use this box to add any other information that you would like to share with usSignature * Clear Signature Updating preview…This is a preview of your submission. It has not been submitted yet! Please take a moment to verify your information. You can also go back to make changes.Custom Captcha * = PreviousSubmit
