Request for Baptism of Child:

Child's First and Middle name(Required)

Last name(Required)

Gender(Required)

Male

Female

This information is needed for the Baptismal Records

Birthday(Required)

Year

Month

Day

Place of Birth(Required)

Phone(Required)

Parents Email

Father's Name:

Mother's Name and Maiden name:(Required)

Father's Religion:(Required)

Roman Catholic

Eastern Rite Catholic

Orthodox

Anglican

Lutheran

United Church

Presbyterian

Unknown

Mother's Religion:(Required)

Roman Catholic

Eastern Rite Catholic

Orthodox

Anglican

Lutheran

United Church

Presbyterian

Unknown

Parents married in the Catholic Church:

Yes

No

Godmother(Required)

Godfather (Required)

Godmother's Religion(Required)

Catholic

Non-Catholic

Godfather's Religion(Required)

Catholic

Non-Catholic

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