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Baptism Registration
The following form is used to register your child to be baptized in one of three parishes, St. Mary, St. Michael or Holy Trinity. Please indicate on the form which parish you wish to have your child baptized in.
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Email
*
Your email
Parish you wish to have your child baptized in (please select one)
*
St. Mary, Galena, IL
St. Michael, Galena, IL
Holy Trinity, Scales Mound, IL
Required
Child's Last Name
*
Your answer
Child's First Name
*
Your answer
Address
*
Your answer
City
*
Your answer
State
*
Your answer
Zip Code
*
Your answer
Home Phone
*
Your answer
Child's Date of Birth
*
MM
/
DD
/
YYYY
Child's Place of Birth (City, State)
*
Your answer
Have you had other children baptized in the Catholic Church?
Yes
No
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