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Child's Information:
Child's Name: *Date of
Birth:
City of Birth:
State of Birth:
*Must provide Birth Certificate
Parents Information:
Father's First Name:
Father's Last Name:
Father's
Religious Affiliation:
Mother's First Name:
Mother's Maiden Name:
Mother's Religious Affiliation:
Street Address: City:
State: Zip:
Contact Phone:
The Parents are members of St. Francis of Assisi Catholic Church:
**
** If not members of St. Francis of Assisi, parents must
provide a letter of permission from their parish
Your Relationship to the Child:
Sponsors/Godparents information: (Must have at least one
godparent and that godparent must be a practicing Catholic
and must have received the Sacrament of Confirmation.)
Godfather's Name:
Religion:
Godmother's Name:
Religion:
Baptism class you would like to attend:
Any additional information you feel we need to know?
Please enter your e-mail address below.
Your E-mail Address:
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