DATA FOR BAPTISM by WAt23JxM

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									                                   DATA FOR BAPTISM




PARISH REGISTRATION NUMBER: ____________________

NAME OF CHILD: _________________________________________________________________________

BIRTHDATE:      ______/______/______

HOSPITAL:_________________ _________CITY:______________________STATE:____________________

FATHER: __________________________________________________RELIGION:_____________________

MOTHER (MAIDEN):_________________________________________RELIGION:___________________

ADDRESS:________________________________________________________________________________

TELEPHONE: (_______)________-_____________

MARRIED:     PRIEST: ____ YES____ NO OTHER:______________________________________________

CHURCH: ___________________________ CITY: _____________________STATE:____________________

DATE OF MARRIAGE: ______/______/______

GODFATHER: ______________________________________________ RELIGION: ___________________

GODMOTHER: _____________________________________________ RELIGION: ___________________

PROXY GODFATHER:___YES___NO            CHILD BAPTIZED PRIVATELY: ____YES ___NO

PLACE:______________________________________

ADDRESS: ________________________________________________________ DATE:____/____/________

NAME OF PRIEST OR DEACON: _____________________________________________________________

                                   For office use only
                        ATTENDING CLASS ON: ______/_______/______

                      REGISTERED FOR CLASS ON: ______/______/______

                          ATTENDED: YES_____NO_____BOTH_____

								
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