Baptism Form

Baptism Registration

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Child's Name as it will appear on the Baptism Certificate
Address
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Gender

Parent Information

Father's Complete Name
Mother's Complete Maiden Name

Godparent Information

Godparent's Complete Name
Additional Godparent's Complete Name
Is either Godparent Represented by a Proxy?
Sacraments of Baptism, Eucharist, and Confirmation Completed?
Address of Current Church
Was the Child Previously Baptized?
Are you Presently Registered at St. John the Evangelist?
Are You Requesting a Specific Priest to Perform the Baptism?

Office Use Only:

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Official Record Book

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This field is for validation purposes and should be left unchanged.