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Baptism Request Form
As a parish family, we rejoice with you as you celebrate the gift of new life. Congratulations!
Please take a few minutes to fill out the following form.
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* Indicates required question
Child's Full Name to be Baptized (first/middle/last)
*
Your answer
Child to be Baptized
*
Male
Female
Required
Date of Child's Birth
*
MM
/
DD
/
YYYY
City & State of birth
*
Your answer
Father's Full Name (first, middle, last)
*
Your answer
Mother's Full Name (first, middle, last)
*
Your answer
Mother's Maiden Name
*
Your answer
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