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Baptism Registration Form
Baptism Registration Form
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* Indicates required question
Email
*
Your email
Date of Application
*
MM
/
DD
/
YYYY
Child's Legal Name
*
Your answer
Child's First Name
*
Your answer
Child's Middle Name
*
Your answer
Child's Last Name
*
Your answer
Gender
*
Your answer
Birth date
*
MM
/
DD
/
YYYY
Child's City of Birth
*
Your answer
Child's Province of Birth
*
Your answer
Child's country of Birth
*
Your answer
Father's name
*
Your answer
Father's Middle Name
*
Your answer
Father's Last Name
*
Your answer
Father's Religion
*
Your answer
Email
Your answer
Phone Number
Your answer
Mother's First Name
*
Your answer
Mother's Middle Name
*
Your answer
Mother's last Name
*
Your answer
Mother's Maiden Name
*
Your answer
Mother's Religion
*
Your answer
Email
Your answer
Phone
Your answer
Home Address
Your answer
City
Your answer
Province
Your answer
Postal code
Your answer
Marriage date
Your answer
Church of the Marriage
Your answer
City of the Marriage
*
Your answer
Are you a Parishioner of St.Pius X
*
Yes
No
Other:
Required
God Parents: Name ( Full name as it will appear on the Baptism Certificate) One person must be Catholic
*
Your answer
God Parents: Name ( Full name as it will appear on the Baptism Certificate) One person must be Catholic
*
Your answer
Any other comments
Your answer
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