Full Name of Child
*
The child is a...
*
Boy
Girl
Child's Date of Birth
*
-
Month
-
Day
Year
Date Picker Icon
Contact Phone Number
*
Contact Email Address
*
Address
*
Father's Full Name
*
Mother's Full Name (Including Maiden Name)
*
Sponsor #1 (Godfather)
*
Sponsor #2 (Godmother)
*
Was the child adopted?
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Yes
No
Was the child ever previous baptized?
*
Yes
No
Are the child's parents married?
*
Yes
No
If YES, were they married by a Catholic priest or deacon?
Yes
No
Submit
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