Baptismal Registration Form

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Sacred Heart Church

Email *

Date

YYYY

Name of Child/Candidate *

Address *

Telephone Number *

Chid/Candidate's Date of Birth *

Child/Candidate's Place of Birth *

Child/Candidate's Date of Baptism *

Father's Name *

Father's Religion *

Moth'er's Name (Including Maiden Name) *

Mother's Religion *

Were Paren'ts Married By A Catholic Priest? *

YES

Required

Godfather/Sponsor's Name *

Is the Godfather Catholic? *

YES

Required

Godmother/Sponsor's Name *

Is the Godmother Catholic? *

YES

Required

Is Either Godparent Represented by a Proxy? *

YES

Required

Name of Proxy

Was the Child Privately Baptized? (That is, was the child baptized in an emergency or in danger of death by someone other than a priest or deacon?) *

YES

Required

Minister of Baptism *

Send me a copy of my responses.

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