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CHURCH
Welcome
Mass Times
Priest Surgery
Other Services
Parish Schools
PARISH
SSJ @ 120
Faith
Collaboration
Fellowship
Proximity
Donation
Funeral
Wedding
Birthday
Induction
Communion 2026
Confirmation
RCIA
Contact
Forms
+
CHURCH
Welcome
Mass Times
Priest Surgery
Other Services
Parish Schools
PARISH
SSJ @ 120
Faith
Collaboration
Fellowship
Proximity
Donation
Funeral
Wedding
Birthday
Induction
Communion 2026
Confirmation
RCIA
Contact
Forms
RICA (From 18 for Baptism / First Holy Communion / Confirmation )
53434
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RICA (From 18 for Baptism / First Holy Communion / Confirmation )
RICA (From 18 for Baptism / First Holy Communion / Confirmation )
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First
Last
Gender
Male
Female
Date of Birth
Place of Birth
DATE OF BAPTISM If Baptised
PLACE OF BAPTISM If Baptised
ADDRESS OF CHURCH OF BAPTISM If Baptised
DATE OF FIRST HOLY COMMUNION If received
PLACE OF FIRST HOLY COMMUNION If received
ADDRESS OF CHURCH FOR FIRST HOLY COMMUNION If received
PROFESSION
OCCUPATION
HOUSE ADDRESS
POSTCODE
PHONE NUMBER
EMAIL
First
Last
FATHER’S RELIGION
First
Last
MOTHER’S RELIGION
MOTHER’S MAIDEN NAME
MARITAL STATUS
Single
married
NAME AND ADDRESS OF CHURCH WHERE MARRIED If married
NAME OF YOUR GODPARENT OR SPONSOR
RELIGION OF YOUR GODPARENT OR SPONSOR
NAME OF CHURCH AND DATE OF YOUR SPONSOR’S CONFIRMATION
In line with GDPR – Would you give us permission to retain this information safely in the Parish Archives? The information supplied here would be transferred onto the Certificate and Register >>> Print name, sign and date
Yes
No
Submit