Baptism Registration
As part of preparation for having your Child baptized at Queen of Peace, please enter the following information. If you have any questions, please call the Parish office at 701-483-2134. If you do not hear back from the Parish within three days of submitting this form, please contact the Parish office for assistance.
Name of Child *
Family Address *
Family Phone Number *
Date of Birth *
MM
/
DD
/
YYYY
Place of Birth *
Date of Baptism *
MM
/
DD
/
YYYY
Name of Father *
Religion of Father *
Name of Mother (with Maiden Name)
Religion of Mother *
In which Rite was the Father Baptized?
Clear selection
In which Rite was the Mother Baptized?
Clear selection
Are Parents Married? *
Were Parents Married by a Catholic Priest? *
Name of Godfather *
Religion of Godfather *
Name of Godmother *
Religion of Godmother *
Name of Proxy (if necessary)
Was the Child ever Privately Baptized? *
Was Child Adopted? *
Notes
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