Baptism/Confirmation/Reception Form
Please check whichever applies/apply
Full Name
Your answer
Date of Birth
MM
/
DD
/
YYYY
Place of Birth
Your answer
If Already Baptized, Date of Baptism
MM
/
DD
/
YYYY
If Already Baptized, City of Baptism
Your answer
If Already Baptized, Name of Church
Your answer
If Already Confirmed, Date of Confirmation
MM
/
DD
/
YYYY
Godparents (for Baptism)
Your answer
Sponsors (for Confirmation)
Your answer
Email Address:
Your answer
Questions or concerns
Your answer
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