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Baptism Interest Form
St. Teresa Church
Address: 141 Henry Street, NY, NY 10002
Contact us at (212) 233-0233 or
StTeresaYouthNY@gmail.com
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* Indicates required question
Phone Number
*
Your answer
Email
*
Your answer
Address
*
Your answer
Language of Baptism
*
English
Spanish
Mandarin
Name of Child
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Place of Birth
Your answer
Father's Full Name
Your answer
Is the father Catholic?
Yes
No
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If yes, what sacraments have they completed?
Baptism
Communion
Confirmation
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Mother's full name
Your answer
Is the mother Catholic?
Yes
No
Clear selection
If yes, what sacraments have they completed?
Baptism
Communion
Confirmation
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Godparent #1's Full Name
Your answer
Are they Catholic?
Yes
No
Clear selection
Godparent #2's full name
Your answer
Are they Catholic?
Yes
No
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