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Baptism Request form
*
Indicates required field
Name of Child
*
Gender
*
Male
Female
Street Address
*
City
*
State
*
Zip Code
*
Phone Number
*
Date of Birth
*
Place of Birth
*
Requested Date of Baptism
*
Second Choice of Date of Baptism
*
PARENT & GODPARENT INFO
Father's Full Name
*
Mother's Full Maiden Name
*
Religion of Father
*
Religion of Mother
*
Are parents married?
*
Yes
No
If married, were parents married in the Catholic Church?
*
Yes
No
Godfather
*
Godmother
*
Godfather Catholic?
*
Yes
No (Christian Witness)
Godmother Catholic?
*
Yes
No (Christian Witness)
Is either Godparent represented by proxy?
*
Yes
No
Name of Proxy(s)
*
Submit
Home
Bulletins
Homilies
Parish Info
Contact Info
Register at the Parish
School
Sacraments
Becoming Catholic
Baptism
Baptism Form
Confirmation
Eucharist
Reconciliation
Anointing of the Sick
Marriage
Holy Orders
Groups & Resources
Lent
Discipleship Discussions
Advent Resources
Bible Study
Divine Mercy
Youth Group
Knights of Columbus
Altar Society
Pro Life Activities
FORMED.org
Server Quiz
Online Giving
Knights of Columbus
Immaculate Conception Dennison