Baptism Registration

The information provided will be used for the Official Church Register and Certificate, so please ensure that all information is accurate (spelling, dates, etc.).
You will receive a confirmation email after this form is submitted.

Sacrament Administered
OFFICE USE ONLY
Minister & Date
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Child Info
Name of Baptized
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Date of Birth //
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Place of Birth
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Sex of child?
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Previously baptized?
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If YES, when?
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Is the child adopted?
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Date desired for Baptism? //
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Parent Info
Father's Full Name
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Religion of Father?
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Mother's MAIDEN Name
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MAIDEN Name
Religion of Mother?
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Parents married?
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By a Catholic Priest
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Address
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Phone --
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E-mail
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Godparent Info
Please obtain a Sponsor Certificate for each Godparent.
Godfather's Name
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Is Godfather a Catholic?
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Godmother's Name
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Is Godmother a Catholic?
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Represented by proxy?
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If YES, name of proxy:
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