Baptism Information Form

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Please, fill out this form indicating the date of baptism from the parish schedule. Do not forget to send or bring to the parish office a copy of your child's birth certificate

*(denotes required field)

Name: *

E-Mail Address: *

Child's Name (Family Name-First Name-Middle Name): *

Date of Birth: *

Place of Birth: *

Father's Name (Family Name-First Name-Middle Name):

Mother's Name (MAIDEN NAME REQUIRED-First Name-Middle Name):

Address (Street number and name of town, State abbreviation + ZIP code):

Phone number: *

E-mail Address:

Only Two people May be Chosen as God-Parents. At least one must be Baptized abd Confirmed Catholic

God-Parent's Name (Family Name-First Name-Middle Name):

Religion:

Church:

God-Parent's Name (Family Name-First Name-Middle Name):

Religion:

Church:

Date of Baptism: *

Time of Baptism:

Presider if other than SFX priest:

Subject: *

Message: *

CAPTCHA Code: *

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