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St. Gabriel Parish Baptism Information Form
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* Indicates required question
First, middle and last Name of Child:
*
Your answer
Child's Date of Birth
*
MM
/
DD
/
YYYY
Child's City of Birth
Your answer
Father's Full Name
*
Your answer
Father's Religion
*
Your answer
Mother's Full Name
*
Your answer
Mothers Religion
*
Your answer
Mother's Maiden Name
*
Your answer
Address
*
Your answer
City/State/Zip
Your answer
Phone Number
*
Your answer
Alternate Phone Number
*
Your answer
Alternate Phone Number Description
Cell
Work
Clear selection
Email Address
*
Your answer
Church & City of Marriage
*
Your answer
Date of Marriage
*
MM
/
DD
/
YYYY
How often do you attend Mass?
*
Your answer
Is this your 1st Child to be Baptized
*
Yes
No
Required
Requested Date and Time of Baptism
*
Your answer
Godfather's Name
*
Your answer
Godfather's Parish
*
Your answer
Godmother's Name
Your answer
Godmother's Parish
Your answer
I cerfity that all information provided, is true and correct; I hereby give permission for the baptism of my son/daughter in the Catholic Church at St. Gabriel Parish in Kansas City, Missouri.
*
Yes
Required
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