St. Mark Holy Baptism Form
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Full Name of Child:
First/Middle/Last
Gender:
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Full Name of Parent 1:
First/Middle/Last
Active Member?
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Full Name of Parent 2:
First/Middle/Last
Active Member?
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Birth Date of Child:
MM
/
DD
/
YYYY
Birthplace of Child:
Address of Parent(s):
Phone Number of Parent(s):
Email Address of Parent(s):
Date of Baptism:
MM
/
DD
/
YYYY
Time of Baptism:
Time
:
Sponsors at Baptism:
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