Baptism Registration

Child's Name

Address

City

Zip Code

Child's Date of Birth

Place of Birth

Father's Name

Father's Religion

Mother's Maiden Name

Mother's Religion

Were the parents married by a Catholic Priest?

Yes

No

Godfather's Name

Is the Godfather Catholic?

Yes

No

Godmother's Name

Is the Godmother Catholic?

Yes

No

Is either Godparent represented by a proxy?

Yes

No

Name of Proxy

Was the child privately baptized?

Yes

No

Thank you for registering your child for Baptism

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Baptism Registration