St. Michael Catholic Church - Dane
St. Patrick Catholic Church - Lodi
Blessed Trinity Catholic School - Dane

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Becoming Catholic for Children (RCIC)

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- Rite of Christian Initiation for Children (RCIC) Registration
- Childs Information
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Middle Name REQUIRED Please fill out this field. Please enter valid data.
- Date of Birth DD/MM/YYYY REQUIRED Please fill out this field. Please enter valid data.
- Grade in School REQUIRED Please fill out this field. Please enter valid data.
- Address 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.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Mothers Name
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Middle Name REQUIRED Please fill out this field. Please enter valid data.
- Maiden Name REQUIRED Please fill out this field. Please enter valid data.
- Fathers Name
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Middle Name REQUIRED Please fill out this field. Please enter valid data.
- Sacramental Information
- Please Select the Following REQUIRED Has received no Sacraments Has been Baptized Has received First Communion Please fill out this field.
- Church You Were Baptized Please enter valid data.
- Date They Were Baptized Please enter a date.
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- Faith Formation
  - Religious Education Programs
    
    4K/5K
    Children's R.E.
    Middle School R.E.
    High School R.E.
  - RCIC
    
    Becoming Catholic for Children
  - Youth Activities
    
    Love Begins Here