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Baptism Registration STV
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* Indicates required question
Name of Child
*
Your answer
Male or Female
Your answer
Address (street #, street, city, state, zip)
*
Your answer
Date and place of birth
*
Your answer
Father's name
*
Your answer
Father's religion
*
Your answer
Father's Cell phone
*
Your answer
Father's Landline phone
Your answer
Father's Email
Your answer
Mother's name
*
Your answer
Mother's religion
*
Your answer
Mother's Cell phone
*
Your answer
Mother's Landline
Your answer
Mother's Email
*
Your answer
Maiden name
*
Your answer
Are parent's married?
*
Yes
No
Please choose
*
Catholic marriage
Civil marriage
If applicable, who lives with the child?
*
Mother
Father
Both
Godmother's name
*
Your answer
Godfather's name
*
Your answer
Has the child been privately baptized?
*
Yes
No
Where, when and by whom?
Your answer
Is this child...
*
First child
Second child
Third child
Other:
Required
Date of Baptismal Class attended
MM
/
DD
/
YYYY
Date of Baptism
MM
/
DD
/
YYYY
Baptized by
Your answer
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