Data Form for Baptism Register
St. Nicholas of Myra Catholic Church
Full Name of Child *
Your answer
Gender *
Address: *
Your answer
City, State *
Your answer
Phone Number *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Place of Birth *
Your answer
Father's Name
Your answer
Father's Religion
Your answer
Mother's First Name and Maiden Name *
Your answer
Mother's Religion *
Your answer
In what Church were parents married? *
Your answer
Godfather's Name *
Your answer
Is the Godfather Catholic? *
Your answer
Godmother's Name *
Your answer
Is the Godmother Catholic? *
Your answer
Was the child adopted?
Please contact the Parish Office (785-628-1446) to arrange the details of your child’s baptism. Thank you!
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