Baptism Registration STV
Name of Child *
Male or Female
Address (street #, street, city, state, zip) *
Date and place of birth *
Father's name *
Father's religion *
Father's Cell phone *
Father's Landline phone
Father's Email
Mother's name *
Mother's religion *
Mother's Cell phone *
Mother's Landline
Mother's Email *
Maiden name *
Are parent's married? *
Please choose *
If applicable, who lives with the child? *
Godmother's name *
Godfather's name *
Has the child been privately baptized? *
Where, when and by whom?
Is this child... *
Required
Date of Baptismal Class attended
MM
/
DD
/
YYYY
Date of Baptism
MM
/
DD
/
YYYY
Baptized by
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