RCIA Registration Form

Contact Information

Please include your Mother and Father contact information here:

Religious History

If you answered “Yes” to the previous question, please provide the following information:
Current Marital Status
If engaged, please fill out the following:

St. John the Evangelist Church

57805 Main Street
Plaquemine, Louisiana 70764

Phone: 225-687-2402
Fax: 225-687-1587
Prayer Line: 225-687-1554

E-mail: stjohnchurchplaq@coxbusiness.net