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Baptism Registration Form
Baptism Registration
Child's Full Name
*
Required
First
Middle
Last
Child's Gender
*
Required
Male
Female
Date of Birth
*
Required
MM slash DD slash YYYY
Place of Birth
*
Required
City
State / Province / Region
Mailing Address
*
Required
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Father's Full Name
*
Required
First
Middle
Last
Father's Cell Phone
*
Required
Father's Work Phone
Father's Email
*
Required
Mother's Full Name
*
Required
First
Middle
Last
Mother's Maiden Name
*
Required
Mother's Cell Phone
*
Required
Mother's Work Phone
Mother's Email
*
Required
Godfather's Name
*
Required
First
Middle
Last
Godparents are required to be 16 years old or older. At least one godparent needs to be a Confirmed, practicing Catholic.
Is Godfather Catholic?
*
Required
Yes
No
Godmother's Name
*
Required
First
Middle
Last
Godparents are required to be 16 years old or older. At least one godparent needs to be a Confirmed, practicing Catholic.
Is Godmother Catholic?
*
Required
Yes
No
Is this your first child?
*
Required
Yes
No
Have you taken baptism prep in the past 7 years?
*
Required
Yes
No
Date of Baptism Prep Class
MM slash DD slash YYYY
Parish where you are registered:
*
Required
Immaculate Conception - Osakis
The Church of St. Mary - Alexandria
St. Nicholas - Belle River
Parish where Baptism will take place:
Immaculate Conception - Osakis
The Church of St. Mary - Alexandria
St. Nicholas - Belle River
Name of present parish:
Married?
*
Required
Yes
No
Reserve Pews?
*
Required
Yes
No
Number of pews to reserve:
*
Required
Please enter a number from
1
to
5
.
Would you like to be gift bearers?
*
Required
Yes
No
Gown size
*
Required
Infant
Large (child over 2 years old)
