Holy Baptism - Information Sheet
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Today’s Date *
MM
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DD
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YYYY
Full Name (First Middle Last) of Person to be Baptized *
Date of Birth *
MM
/
DD
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YYYY
City and State of Birth *
Gender *
Home Address (Street Number Street Name City State Zip) *
Home Telephone Number *
1st Parent/Guardian's Full Name (First Middle Last) *
Email Address of 1st Parent/Guardian *
Mobile Phone Number of 1st Parent/Guardian *
2nd Parent/Guardian's Full Name (First Middle Maiden Last)
Email Address of 2nd Parent/Guardian
Mobile Phone Number of 2nd Parent/Guardian
Names, home addresses, email addresses, phone numbers of Godparents *
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