Baptism Registration Form

- Sacraments

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- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Child's Name REQUIRED Please fill out this field. Please enter valid data.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- City of Birth REQUIRED Please fill out this field. Please enter valid data.
- Address REQUIRED Please fill out this field. Please enter valid data.
- City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
- Mother's Name REQUIRED Please fill out this field. Please enter valid data.
- Mother's Religion REQUIRED Please fill out this field. Please enter valid data.
- Father's Name Please enter valid data.
- Father's Religion Please enter valid data.
- Were the Parents married in the Catholic Church? REQUIRED Please fill out this field.
- Godmother's Name Please enter valid data.
- Is the Godmother Catholic?
- Godfather's Name Please enter valid data.
- Is the Godfather Catholic?
- Name of Officiating Priest or Deacon. (Leave blank if you have not selected one.) Please enter valid data.
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