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ST. PETER DAMIAN PARISH
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Baptism Intake Form
PLEASE COMPLETE ALL INFORMATION ON THE BAPTISMAL INTAKE FORM.
Requested Date of Baptism: 1st or 3rd Sunday only available
*
Month
Have you completed a baptismal preparation class in the last 5 years?
Yes
No
If class was completed, when/where did you complete the baptismal preparation class?
*
Name of Child: (First, Middle, Last)
*
Child's Date of birth
*
Place of birth: (City & State)
*
Home Address
*
Phone
*
Email
*
Father's name: (First, Middle, Last)
*
Father's Religion
*
Catholic
Christian
Other
Mother's name: (First, Middle, Maiden)
*
Mother's Religion
*
Catholic
Christian
Other
If married, please advise if the marriage was in the Catholic Church.
*
Yes
No
* If not married: Do parents live together? If not a notarized letter of consent will need to be provided from the noncustodial parent.
Yes
No
Godfather's name: (First. Middle, Last)
*
Has the Godfather received the sacrament of Confirmation in the Catholic Church? Please note that proof of Confirmation is required.
*
Yes
No
Godmother's Name: (First, Middle, Last)
*
Has the Godmother received the sacrament of Confirmation in the Catholic Church? Please note that proof of Confirmation is required.
*
Yes
No
Submit
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