Registro para el programa del Rito de iniciación cristiana de los adultos (R.I.C.A.)

PARTE 1: INFORMACIÓN DEL APLICANTE

Primer Nombre REQUIRED Please fill out this field. Please enter valid data.

Segundo Nombre: REQUIRED Please fill out this field. Please enter valid data.

Apellido Paterno REQUIRED Please fill out this field. Please enter valid data.

Apellido Materno REQUIRED Please fill out this field. Please enter valid data.

Edad REQUIRED Please fill out this field. Please enter valid data.

Número de Celular REQUIRED Please fill out this field. Please enter a phone number.

E-mail REQUIRED Please fill out this field. Please enter an email address.

Phone Number REQUIRED Please fill out this field. Please enter a phone number.

DIRECCIÓN ACTUAL

Número y Nombre de (St/Ave/Ct/etc) 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.

Fecha de Nacimiento (Mes/Dia/Año ) REQUIRED Please fill out this field. Please enter valid data.

Lugar de Nacimiento (Pueblo/Localidad, Ciudad/Municipio, Estado/Departamento, PAÍS) REQUIRED Please fill out this field. Please enter valid data.

Estado Civil REQUIRED Casado (a) Soltero (a) Comprometido (a) Please fill out this field.

Your Father's Name REQUIRED Please fill out this field. Please enter valid data.

If Married, spouse's name REQUIRED Please fill out this field. Please enter valid data.

Have You Been Divorced? REQUIRED Yes No Please fill out this field.

Your Mother's Maiden Name? REQUIRED Please fill out this field. Please enter valid data.

Your Mother's Name REQUIRED Please fill out this field. Please enter valid data.

Have you been Baptized? REQUIRED Yes No Please fill out this field.

Your date of baptism (Month/Day/Year) REQUIRED Please fill out this field. Please enter valid data.

Your place of baptism? (Church Name and City and State) REQUIRED Please fill out this field. Please enter valid data.

Which sacraments do you wish to receive" REQUIRED Baptism First Communion Profession of Faith Confirmation Please fill out this field.

Potential sponsor's name? Please enter valid data.

Date REQUIRED Please fill out this field. Please enter a date.

There is a $25.00 fee for participants. This is the only fee that you will pay. You can drop a check off at the church office Monday - Thursday or ring it to our first session. This fee covers administration and materials.

St. Henry Catholic Church

Gresham, Oregon

Registro para el programa del Rito de iniciación cristiana de los adultos (R.I.C.A.)

Aplicacion para el programa de R.I.C.A.