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Registration Form for Infant Baptism

Required Information
Tentative date/time of Baptism:
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Name of Child
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Address
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Phone -- ext
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Contact E-mail
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Child's Date of Birth //
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City / State / Country of Child's Birth
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Father's Full Name
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Mother's Full Maiden Name
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Father's Religion
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Mother's Religion
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Are parents married?
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If married, but not in Catholic Church, would you consider validating your marriage?
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If yes, please contact one of our parish priests.
Godfather's Name
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Is Godfather a practicing Catholic?
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If yes, where?
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Is he confirmed?
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If married, is he married in the Catholic Church?
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Godmother's Name
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Is Godmother a practicing Catholic?
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If yes, where?
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Is she confirmed?
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If married, is she married in the Catholic Church?
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If Godparent's can't be present, they may be represented by a proxy. Is there a proxy?
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If yes, name of proxy
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Is either Godparent practicing another faith?
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If yes, which faith?
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A Non-Catholic would be considered a Witness. If one is not Catholic, which one?
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PARISH OFFICE USE ONLY:
$10.00 Registration fee paid:
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Have these parents & godparents attended a Baptism class before?
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If so, when?
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Parents attended Baptism class at St. Pius X on:
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Godparents attended Baptism class at St. Pius X on:
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Actual date the child was baptized:
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Name of Priest or Deacon:
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