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Baptism Class Registration Form

Please make sure to press the SUBMIT button at the end of this form to complete the registration.

Child's first name*

Child's Last Name*

Child's Date of Birth*

Peferred language:

English

Spanish

Are you baptizing at this parish?

Yes

No

If the answer is NO, please enter parish name and full address:

Date of class requested*

Date of Baptism requested

Do you need a letter of Completion of Class?

Yes

No

Mother's full name*

Mother's Phone number*

Mother's email address

Father's full name*

Father's Phone number

Father's email address

Godfather's full name

Godfather's Ph. number

Godfather's email address

Godmother's full name

Godmother's Ph. Number

Godmother's email address

.

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