Baptism Form
Baptism Candidates Full Name
*
First Name
Middle Name
Last Name
Date of Birth
*
Please select a month
January
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Month
Please select a day
1
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Day
Please select a year
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1920
Year
Place of Birth (City and State)
*
Father's Full Name
*
First Name
Middle Name
Last Name
Mother's Full Name
*
First Name
Middle Name
Last Name
Mother's Maiden Name
*
First Name
Last Name
God Father's Name
*
First Name
Last Name
Name of Parish God Father attends
Parish Name
City / State of God Father's parish
City/State
God Mother's Name
*
First Name
Last Name
Name of Parish God Mother attends
Parish Name
City/State of God Mother's Parish
City/State
E-mail
*
Family Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Daytime Telephone #
-
Area Code
Phone Number
Evening Telephone #
*
-
Area Code
Phone Number
Have you attended a Baptism Class in the last 2 years?
*
Yes
No
Is this your first child being baptized?
*
Yes
No
For Baptisms for Children of Larger Families: Archbishop Naumann has offered to celebrate the baptism of the third or greater child of any family interested. Would you like to receive information regarding Archbishop Naumann celebrating this Baptism?
Yes
No
Are you Registered in the parish?
*
Yes
No
Submit
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