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Baptism Registration Form

A detailed form parishes use to record the child's, parents', and godparents' information ahead of the baptism ceremony.

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Name of Parish:

City:

Child's Name:

First Name

Last Name

Date of Birth:

Birth Place:

Mother's Name:

First Name

Last Name

Mother's Religion:

Father's Name:

First Name

Last Name

Father's Religion:

Are both parents having full custody of the child?

Yes No

Are parents married?

Yes No

Phone Number:

Email Address:

Address:

Street Address

City

State / Province

ZIP / Postal Code

Godfather's Name:

First Name

Last Name

Godfather's Religion:

Godmother's Name:

First Name

Last Name

Godmother's Religion:

Is either Godparent represented by proxy?

Yes No

Was the child baptized before?

Yes No

Was the child adopted?

Yes No

Date & Time of Baptism:

Date:

Parent Signature:

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