Baptism Registry

BAPTISM REGISTRY
Child's Information
Child's Full Name*

First NameMiddle NameLast Name
Gender*
Date of Birth*

MonthDayYear
Date
Place of Birth*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Home Address*

Street Address

CityState / Province

Postal / Zip Code
Parent Information
Father's Name*

First NameMiddle NameLast Name
Email*
example@example.com
Phone Number*
Format: (000) 000-0000.
Father’s Religion*
Mother's Name*

First NameMiddle NameLast Name
Mother's Maiden Name*
Maiden Name
Email*
example@example.com
Phone Number*
Format: (000) 000-0000.
Mother’s Religion*
Date
Preferred Month For Baptism

Communal Baptisms take place the third Saturday (English) and Sunday (Spanish) of each month.
Select month
YesNo
YesNo
YesNo
YesNo
YesNo
God Parent Information
Godfather's Name*

First NameMiddle NameLast Name
Godfather's Email*
example@example.com
Godfather's Phone Number*
Format: (000) 000-0000.
YesNo
YesNo
YesNoN/A
Godmother's Name*

First NameMiddle NameLast Name
Godmother's Email*
example@example.com
Godmother's Phone Number*
Format: (000) 000-0000.
YesNo
YesNo
YesNoN/A
YesNo
St. Pius V Catholic Church | 7691 Orangethorpe Ave Buena Park, CA 90621 | (714) 522-2193
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BAPTISM REGISTRY