3200 Philadelphia Pike, Claymont DE 19703
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Baptism Registration Form
Family Information
Date
Month
January
February
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Child's Name
First Name
Middle Name
Last Name
Child's Date of Birth
Month
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Place of Birth (City & State)
Father's Name
First Name
Last Name
Father's Religion
Mother (Maiden Name)
First Name
Last Name
Mother's Religion
Address
Home Phone
-
-
Daytime Phone
-
-
Name of First Sponsor (or Christian Witness)
Religion of First Sponsor
Name of Second Sponsor (or Christian Witness)
Religion of Second Sponsor
Is your family registered at Holy Rosary Parish
Yes
No
How often does your family attend Mass
Where were you married
Date of your marriage
Month
January
February
March
April
May
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October
November
December
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Day
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Is this your first child
Yes
No
Have you ever attended a Pre-Baptism Program
Yes
No
If yes, where and when
For Office Use ONLY
Priest/Deacon:
First Name
Last Name
Type of Baptism program required
NONE: (already attended program)
BASIC (requires one session)
FULL (needs extended preparation)
For BASIC, date attended
Month
January
February
March
April
May
June
July
August
September
October
November
December
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Day
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Date of Baptism
Month
January
February
March
April
May
June
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August
September
October
November
December
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Day
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Time of Baptism
01
02
03
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09
10
11
12
:
00
15
30
45
AM
PM
Presider
First Name
Last Name
Recorded in Sacramental Book
Yes
No
Recorded in PDS
Yes
No
It may take a moment for your information to be submitted.