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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

Zip/Postal

Answer Required

Email Address*

Answer Required

Have Parents taken Baptism Prep Class?*

Answer Required

Yes

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

Enter your email address here if you'd like to receive a confirmation upon submitting the form.

Email Required