Baptism Contact

Baptism Contact Form

Parent Information:

* Indicates required field

Father's Name *

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Last

Father's Religion *

Mother's Name *

First

Last

Maiden Name *

Mother's Religion *

Parish of Registration *

Phone Number *

Alternate Number *

Email *

Child Information:

Child's Name *

First

Last

Date of Birth (mm/dd/yyyy): *

Birth City *

Birth State *

Gender *

Male Female

Comment *

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