Baptism Registration Form

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Baptism Registration Form

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* Indicates required question

Email *

Your email

Full Name of Child (First, Middle, & Last): *

Your answer

Gender of Child: *

Male

Female

Date of Birth: *

MM

/

DD

/

YYYY

Location (City & State) of Birth: *

Your answer

Father's Full Name: *

Your answer

Father's Email & Phone Number: *

Your answer

Mother's Full Maiden Name: *

Your answer

Mother's Email & Phone Number: *

Your answer

Mailing Address:

Your answer

Did the parents have a Catholic wedding? *

Yes

No

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