Baptism Registration Form

Family Information
Date //
  •  
Child's Name
  •  
Child's Date of Birth //
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Place of Birth (City & State)
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Father's Name
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Father's Religion
  •  
Mother (Maiden Name)
  •  
Mother's Religion
  •  
Address
  •  
Home Phone --
  •  
Daytime Phone --
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Name of First Sponsor (or Christian Witness)
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Religion of First Sponsor
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Name of Second Sponsor (or Christian Witness)
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Religion of Second Sponsor
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Is your family registered at Holy Rosary Parish
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How often does your family attend Mass
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Where were you married
  •  
Date of your marriage //
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Is this your first child
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Have you ever attended a Pre-Baptism Program
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If yes, where and when
  •  
For Office Use ONLY
Priest/Deacon:
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Type of Baptism program required
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For BASIC, date attended //
  •  
Date of Baptism //
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Time of Baptism
: 
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Presider
  •  
Recorded in Sacramental Book
  •  
Recorded in PDS
  •