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Baptism Registration: Child
Please complete the form below. Required fields marked with an asterisk *
Full name of child to be baptized
*
Answer Required
Date of Birth
*
Answer Required
City/State of Birth
*
Answer Required
Father's Full Name
*
Answer Required
Father's Religion
*
Answer Required
Mother's Full Name
*
Answer Required
Mother's Maiden Name
*
Answer Required
Mother's Religion
*
Answer Required
Phone Number
*
Number Required
Address
Street Address
Answer Required
City
Answer Required
State
Answer Required
Please Select
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Zip/Postal
Answer Required
Email Address
*
Answer Required
Have Parents taken Baptism Prep Class?
*
Answer Required
Yes
No
If yes, where and when?
Answer Required
Name of Godparent
*
Answer Required
Name of Godparent
at least 1 godparent must be an active, confirmed Catholic
Answer Required
Name of Godparent
Answer Required
Name of Godparent
Answer Required
Confirmation Email
Confirmation Email
Enter your email address here if you'd like to receive a confirmation upon submitting the form.
Email Required
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