Baptism Registration Form

Child to be Baptized
Name
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Birth Date //
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City/State of Birth
Address
What parish are you a registered member of?
Is this your first child to be baptized?
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If this is your first child to be baptized, you are responsible for coming to the Parish Office (1633 N Cleveland Ave.) to pick up a booklet "Your Baby's Baptism" in lieu of a Baptism Preparation Class. By completing this form you are agreeing to this requirement.
Is the Baptism taking place at St. Michael's?
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Baptism Date //
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Father's Information
Father's Name
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Father's Religion
Father's Phone Number --
Father's E-mail
Mother's Information
Mother's Name
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Mother's Maiden Name
Mother's Religion
Mother's Phone --
Mother's E-mail
Godparent #1
At least one sponsor MUST be Catholic, over 16 yrs of age and have been confirmed.
Godparent #1
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Is Godparent #1 confirmed in the Catholic Church?
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Is Godparent #1 over 16 years of age?
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Godparent #2
Godparent #2
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Is Godparent #2 confirmed in the Catholic Church?
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Is Godparent #2 over 16 years of age?
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Stipend for Baptism | $125.00

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