Baptism Contact Form

Please fill out the Baptism Registration Form and 

Name of Child
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Residence
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Date of Birth //
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Place of Birth
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Preferred Date of Baptism //
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Please note: This date is based on availability of Father Phil. We will confirm by phone that this date is available.
Phone --
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Email
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Father's Name
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Last, First, & Middle
Religion of Father
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Mother's Maiden Name
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Religion of Mother
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Were the Parents Married by a Catholic Priest?
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Name of Godfather
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Is Godfather a Catholic?
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Name of Godmother
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Is Godmother a Catholic?
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Is either Godparent represented by Proxy?
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Was the child privately baptized?
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Was the child adopted?
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Name of Celebrant
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Time of Baptism
: 
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Parish where Baptism is to take place
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Will the Baptism be at Mass or Privately?
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