Register for RCIA

Please fill out the form below to register for the next RCIA session. There is no charge for the RCIA program.

After submitting the form, please contact Deacon Don at the Parish Office (734) 464-1222 to make an appointment for an interview.

* Required Fields

* First Name
Middle Name
* Last Name
Maiden Name (if applicable)
* Address
* City
* State
* Zip Code
Primary Phone
( Primary Phone 1 ) Primary Phone 2 - Primary Phone 3 ext Primary Phone Extension
* Phone Type
Home Phone
Cell Phone
Work Phone
Secondary Phone
( Secondary Phone 1 ) Secondary Phone 2 - Secondary Phone 3 ext Secondary Phone Extension
Phone Type
Home Phone
Cell Phone
Work Phone
* Email
* Date of Birth
* Date of Birth Month / * Date of Birth Day / * Date of Birth Year
* City of Birth
* State of Birth

Welcome