Baptism Registration Form <div> <br /> </div>

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Father’s Full Name (First, Middle and Last) Please enter valid data.
Father’s Religion Please enter valid data.
Mother’s Full Name (First, Middle and Last) Please enter valid data.
Mother’s Religion Please enter valid data.
Godfathers full name (First, Middle and Last) Please enter valid data.
Godfathers Religion Please enter valid data.
Godmothers Full Name (First, Middle and Last) Please enter valid data.
Godmothers Religion Please enter valid data.
Must have full name of child to be baptized. (First, Middle and Last) REQUIRED Please fill out this field. Please enter valid data.
Place of Birth: City and State REQUIRED Please fill out this field. Please enter valid data.
Date of Birth of Child:(MM/DD/YYYY) REQUIRED Please fill out this field. Please enter valid data.
Have you attended a baptism class at St. Stephen’s? REQUIRED Yes No Please fill out this field.
If no, do you prefer to register for the next available English or Spanish class? I prefer the English Class. I prefer the Spanish Class. I have no preference.
If yes, what date did you attend the baptism class? (English or Spanish Class) Please enter valid data.
Please provide the names of each person you will register for the next available Baptism class below: REQUIRED Please fill out this field.
To complete the Baptism Registration the following are required. Please check all that you currently have ready. REQUIRED Legal Birth Certificate Proof of Baptism Class completion for Parents of child. Proof of Baptism Class completion for God Parents. Church Marriage Certificate for The God Parents. (If married) Confirmation Certificate for each God Parent. (If single.) Proof of residence by a utility bill. ( One bill from each God Parent if single) Please fill out this field.
Phone Number REQUIRED Please fill out this field. Please enter a phone number.
Email REQUIRED Please fill out this field. Please enter an email address.
Please select the title of Person filling out this registration form from options below:a REQUIRED Please fill out this field.
If Other please describe below Please enter valid data.

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St. Stephen's

Catholic Church

Baptism Registration Form