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Baptism Family Information Form

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  Dear Baptism Parents - Please fill in all required fields with accurate information - we use it to document this wonderful celebration in our parish records. Accuracy in our Baptism records will enable us to document all future sacraments throughout your child's life. We also use it to create your child's baptism certificate which we then send to you for safekeeping.
  We look forward to this journey of faith with you!
  
  CHILD'S FULL NAME
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Does the child have a middle name? If yes, please list it here: (for the certificate) Please enter valid data.
  
  Child's Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  City of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  State of Birth
  
  Country, if other than USA Please enter valid data.
  
  FATHER'S FULL NAME
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name, if any Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  MOTHER'S FULL MAIDEN NAME (birth name, before marriage)
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  MAIDEN Middle Name, if any Please enter valid data.
  
  MAIDEN Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  FAMILY PHONE NUMBER AND RESIDENCE ADDRESS (not a P.O. box number)
  
  Best Phone Number to reach you REQUIRED Please fill out this field. Please enter a phone number.
  
  Another Phone Number you'd like us to have? Please enter a phone number.
  
  Address: number, street, include apartment number REQUIRED Please fill out this field. Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  Are you already an enrolled/registered member of Divine Savior Parish? REQUIRED Please fill out this field.
  
  If not enrolled at Divine Savior, to which parish do you belong? Please enter valid data.
  
  SPONSOR/GODPARENT INFORMATION:
  
  only one Godparent is required, but two people, one male and one female, may be listed on the certificate
  
  at least one sponsor/godparent must be confirmed in the Catholic faith, if not, please list them as "Christian Witness"
  
  you do not need godparent names to submit this form, but godparents must be selected early in the baptism preparation process; our baptism team can help you select appropriate people to be godparents or a Christian witness
  
  GODFATHER'S NAME (must be a confirmed Catholic)
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Has the Godfather celebrated the Sacrament of Confirmation as a Catholic? REQUIRED Please fill out this field.
  
  GODMOTHER'S NAME (must be a confirmed Catholic)
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Has the Godmother celebrated the Sacrament of Confirmation as a Catholic? REQUIRED Please fill out this field.
  
  CHRISTIAN WITNESS NAME (see info above)
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Please list any preferred dates for your child's baptism: (not required)
  
  Date Please enter a date.
  
  Date Please enter a date.
  
  Please provide an email address for confirmation that we received your form, and for any questions we have about these details. We look forward to baptizing your child!
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Submit
  
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