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Baptism Information Form
Baptism Information Form
Date of Baptism
*
January 8, 2023
April 8, 2023
April 16, 2023
May 28, 2023
November 5, 2023
November 5, 2023
November 23, 2023
Baptized Person’s Name
*
First
Middle
*
Middle
Last
*
Last
Date of Birth
Sex
Male
Female
Place of Birth
City
Place of Birth – State
State / Province / Region
Residence
*
Street Address
Address Line 2
Address Line 2
City
*
State / Province / Region
*
ZIP / Postal Code
*
Parent 1 Information:
Full Name
First
Middle Name
Middle
Last Name
Last
Religious Affiliation
Phone
Email
Parent 2 Information:
Full Name
First
Parent 2 Middle Name
Middle
Parent 2 Last Name
Last
Religious Affiliation
Phone
Email
Godparent/Witness/Sponsor Information:
Only one is necessary.
Repeater
Name
First
Witness Middle Name
Middle
Witness Last Name
Last
Add Person
Remove Person
Clergy Information:
Clergy Consulted
Elizabeth Marie Melchionna
Keith Esposito
Mary Cat Young
Mawethu Ncaca
Mawethu Ncaca
Submit