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Baptismal Form
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Name of Child
*
First
Last
Gender
*
Male
Female
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Date of Birth
*
MM slash DD slash YYYY
Place of Birth (City and State)
*
Father's Name
*
First
Last
Father's Religion
Mother's Name
*
First
Last
Mother's Maiden Name
*
Mother's Religion
Family Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Phone
*
Email
*
Were parents married by a catholic priest?
Yes
No
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Godfather's Name
First
Last
Is the Godfather Catholic?
Yes
No
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Is the Godmother Catholic?
Yes
No
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Godmother's Name
First
Last
Are Godparent's Married?
*
Yes
No
Valid Catholic Marriage?
*
Yes
No
Was the child privately baptized?
Yes
No
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Was the child adopted?
Yes
No
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St. Anthony Member?
*
Yes
No
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Requested Baptism Date
*
MM slash DD slash YYYY
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