Baptismal Information
Saint Therese Church
973-881-1400
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Name of Child ( Nombre Del Nino) *
Street (Calle) *
City, State (Ciudad, Estado) *
Telephone Number (Numero de telefono) *
Date of Birth (Fecha de Nacimiento) *
MM
/
DD
/
YYYY
Place of Birth (Lugar de Nacimiento) *
Name of the Father ( Nombre del Padre) *
Name of the Mother ( Nombre de Madre) *
Maiden Name ( Nombre de Soltera) *
The Godparents must be CATHOLIC.
Los Padrinos debe de ser CATOLICOS.
God Father (Padrino) *
Godmother (Madrina) *
Date of Baptism (Fecha  del Bautismo) *
MM
/
DD
/
YYYY
Deacon and Priest ( Deacono y Padre) *
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