RCIA-RICA 2018-2019 Rev. 08/16/18_ IAR

RICA - RCIA Forma de Inscripción / Registration Form

2018~ 2019

ESTA FORMA DE INSCRIPCIÓN ES SOLAMENTE PARA MAYORES DE 18 AÑOS.

THIS REGISTRATION FORM IS ONLY FOR ADULTS (MUST BE 18 YRS).

Nombre / Name: ________________________________________________________ Fecha de hoy / Today’s Date: ______________ Fecha de Nacimiento / Date of Birth: _________________________ Edad / Age: ____________

(______)________________________ (______)____________________________ (______)_________________________ Teléfono de Casa / Home Number Teléfono de Trabajo / Work Number Celular / Cell

_______________________________________________________________ Domicilio / Address # de apartamento / Apt. #

__________________ Texas ____________________ Cuidad / City Estado / State Código Postal / Zip-code Correo electrónico / E-mail:_________________________________________________________

Seleccione el Idioma en el que desea tomar su clase / Select language in which you would like to take class in: ____ Español (Spanish) o/ or _____ English (Ingles)

1. Seleccione una de las siguientes / Select one of the following:

a. Estoy considerando convertirme a la Fe Católica ____ I am considering converting to the Catholic Faith

b. Deseo recibir el (los) Sacramento(s) de: I wish to receive the Sacrament(s) of:

i. Bautismo / Baptism : _____ ii. Confirmación / Confirmation: _____ iii. Primera Comunión / First Communion: _____

2. Estoy / I am: a. Casado(a) / Married: ____

i. Si estoy casado(a); Me case por: If I am married; I am married by:

1. Iglesia Católica / Catholic Church: _____ 2. Ley Civil / Civil Law: _____ 3. Otra religión / Other Faith: _____ Cual / Which? __________________ 4. Ley Común / Common Law: ______

ii. Si estoy casado(a); Es tu primer matrimonio? If you are married; is this your first marriage?

1. Sí / Yes _____ 2. No _____

b. Comprometido(a) / Engaged: _____ c. Soltero(a)/ Single: ______ d. Divorciado(a)/ Divorced: _____ e. Viudo(a) / Widow: ______ f. En unión libre / Cohabitating : ______

2215 Ross Avenue . Dallas, TX 75201

(469)329-6220 Faith Formation / RE Office (469) 571-7402 with Mr. Alex Adams (It’s best to text, please identify yourself.)

Favor de entregar la forma de inscripción a la Oficina Pastoral Attn: RCIA.

Please return completed registration form to the Pastoral Office Attn: RCIA.

RCIA-RICA 2018-2019 Rev. 08/16/18_ IAR

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