Baptism Request

Location

United States

See map: Google Maps

Date *

Month

Day

Year

Requested Date of Baptism *

Month

Day

Year

Requested Time of Baptism *

Hour

Minute

Ordained Minister Requested *

Explain if "Other" Minister was selected above

Have you attended a baptismal preparation class for this child or an older sibling? *

Yes

Father's Name

Father's Phone Number

Father's Religion

Mother's Name

First, Middle, Maiden and Last Name

Mother's Religion

Mother's Phone Number

Permanent Address

Street *

City *

State *

Zip Code *

Home Phone Number

Name of Church Parish you belong to

Registered and attending services

Were parents married by a Catholic priest? *

Yes

Child's Full Name *

Child's Date of Birth *

Month

Day

Year

Child's Place of Birth *

Godfather's Name

Godfather's Religion

Godmother's Name

Godmother's Religion

Is the child adopted? *

Yes

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Baptism Request

Location

Sacraments

CHURCH & PARISH OFFICES

Divine providence center

Church Office Hours of Operation

YOUTH OFFICE HOURS

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Baptism Request

Location

Sacraments

CHURCH & PARISH OFFICES

Divine providence center

Church Office Hours of Operation

YOUTH OFFICE HOURS