St. Mary's and St. Louis Baptism Information Form

Please enter your information below.

Name of Child to be Baptized
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Date of Birth //
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Place of Birth
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Was child privately baptized?
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Is the child adopted?
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Address
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Telephone Number --
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Cell Phone Number 1 --
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Cell Phone Number 2 --
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We are members of:
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Parent Information
Father's Full Name
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Date of Birth //
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Roman Catholic?
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If not Roman Catholic, what is your faith tradition?
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Occupation
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Email Address
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Mother's Full Name (including maiden)
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Date of Birth //
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Roman Catholic?
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If not Roman Catholic, what is your faith tradition?
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Occupation
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Email Address
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Marital Status
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If Married, Anniversary Date //
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Were you married by a Catholic Priest?
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Catholic Godparents
Must be Confirmed, at least 16 years of age, and a practicing Catholic.
Godfather's Name
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Godfather is a practicing Catholic of which parish?
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Godmother's Name
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Godmother is a practicing Catholic of which parish?
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If not a practicing Catholic, name of Christian Witness
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Will either Godparent be represented by a proxy?
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If yes, who?
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Permission
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Do you give your permission for St. Mary's and St. Louis to include a petition in the Prayers of the Faithful at Mass for your child's Baptism as well as an announcement of congratulations in the bulletin?
Sibling Information
Baptism Class If this is your first child to be Baptized, a Baptism class will be required.
Sibling #1 Name
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Sibling #1 Age
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Sibling #2 Name
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Sibling #2 Age
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Sibling #3 Name
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Sibling #3 Age
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Sibling #4 Name
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Sibling #4 Age
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Sibling #5 Name
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Sibling #5 Age
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Date Requested For Baptism
Please select your 1st choice //
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Please select a Sunday from the calendar for your first choice.
Please select your 2nd choice //
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Please select a Sunday from the calendar for your second choice.
Please select your 3rd choice //
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Please select a Sunday from the calendar for your third choice.
Do you wish to use the Parish Center/Hall?
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Verification
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I verify that I am the parent or legal guardian of the child(ren) listed on this form.
Stole fee paid to the church is $25.00. If you would like to give our Priest or Deacon a monetary gift, it would be in addition to the $25.00 Stole Fee.
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