HOLY BAPTISM INFORMATION SHEET
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Date of Application *
MM
/
DD
/
YYYY
Full Name of Person Being Baptized *
Please include middle name.
Place of Birth *
Parent 1 Full Name *
Parent 1 City/Town and State of Residence *
Parent 1 Telephone
Parent 1 Religious Affiliation *
Parent 2 Full Name *
Parent 2 City/Town and State of Residence *
If the same as parent 1, state SAME
Parent 2 Telephone *
Parent 2 Religious Affiliation *
Witness or Sponsor 1 Name (First and Last) *
Witness or Sponsor 1 City/Town and State of Residence *
Witness or Sponsor 2 Name (First and Last)
Witness or Sponsor 2 City/Town and State of Residence
Witness or Sponsor 3 Name (First and Last)
Witness or Sponsor 3 City/Town and State of Residence
Date of Baptism
MM
/
DD
/
YYYY
Place of Baptism *
Desired Officiant *
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