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Chrismation Application
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* Indicates required question
Child Name
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Place of Birth
*
Your answer
Name of the Father
*
Your answer
Name of the Mother
*
Your answer
Date of Service
*
MM
/
DD
/
YYYY
Time of Service
*
Time
:
AM
PM
Name
*
Your answer
Parents Address
*
Your answer
Phone Number
*
Your answer
Member f St. Barbara Church
*
Yes
No
Witness #1 Name
*
Your answer
Witness #2 Name
Your answer
Church Dues
$500
/ Year
Certification Fee & Archdiocese Assessment:
$50
* The fee should be paid when arranging with the priest.
* All Services Should be arrange with the priest at least one month prior to the service.
*
Please speak to the priest if you are experiencing financial hardship.
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