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Baptism Application
Please write names exactly as they appear on the Birth Certificate.
You must confirm the hour and time of the Sacrament with the Parish office
by calling 562 455-1112
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Email
*
Your email
Requested Date for the Celebration of the Sacrament
MM
/
DD
/
YYYY
Candidates Name
*
Your answer
Date of Birth
MM
/
DD
/
YYYY
Place of Birth
City and State
Your answer
Father or Guardian's Full Name
(Leave blank if it does not appear on the Birth Certificate)
Your answer
Fathers Phone Number
Your answer
Mother or Guardian's Full Name
Your answer
Mothers Phone Number
Your answer
Address
Your answer
God Parent
*
Must be of catholic faith
Your answer
God Parent
(Leave blank if only one God Parent)
Must be of catholic faith
Your answer
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