RCIA Request Form
Sacrament/s Being Requested: Baptism
1st Penance
1st Communion
Confirmation
Contact Information:

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Birth Information:
Has the individual received: Yes     No     Baptism
Yes     No     First Reconciliation
Yes     No     First Eucharist
Baptism Information:

(Not necessary for Baptismal Candidates)


If not Baptized at St. Thomas More, send a copy of Baptismal Certificate to the Parish Office
Sponsors: (for Baptism) (for Baptism) (for Baptism) (for Confirmation)
Parents' Information
About Your Mother: Mother's Religion:
About Your Father: Father's Religion:

St. Thomas More Roman Catholic Church
3015 Roundelay Road, Lynchburg, VA 24502-2036
phone: 434.237.5911, fax: 434.237.8854, e-mail: info@stmva.com

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