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Baptism Information Form
Baptism Information Form
Date of Baptism
*
June 5, 2022
July 24, 2022
November 6, 2022
Baptized Person’s Name
*
First
Middle
Middle
Last
*
Last
Date of Birth
*
Sex
Male
Female
Other
Other
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
Noah Van Niel
Mary Cat Young
Other
Other
Submit
