Baptism Registration Form – Holy Rosary Burlington

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Home→Registration for Sacraments→Baptism Registration Form

BAPTISM REGISTRATION FORM

BAPTISM REGISTRATION FORM

Child’s Full Name

First Name

Middle Name

Surname

Male/Female

Place of Birth

Enter City Name

Province/ State

Date

Father’s Full Name

First Name

Middle Name

Surname

Religion

Mother’s Full Name

First Name

Middle Name

Maiden Name

Religion

Address

Number and Name

Str. Ave. etc

Apt. /Unit

Phone Number

City

Enter City Name

Postal Code

Family Contact Email

Enter email here

Godfather’s Full Name

First Name

Middle Name

Surname

Religion

Godmother’s Full Name

First Name

Middle Name

Surname

Religion

Child Previously Baptized

Yes/No

Child Adopted

Yes/No

Number of Children In Family

Enter Number

Mass Attendance- Yes/No

If you are human, leave this field blank.

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