Baptism Form

Baptism Form

* - required

*DOB:

/ /


	Child's place of birth

City:

State:

Is this Child
adopted?:

Yes
No


	Parents

*Mother's Name:

Maiden Name:

Father's Name:

Married by a priest:

YesNo

*Contact Phone:

- - x

Email Address:

Parent's address:

Street City Zip Code


	Godparents

At least one of the godparents must be Catholic. Both must be at least 16 years old.

Name of Godmother:

Name of Godfather:

*Image Verification:

Image Verification

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