Baptism Registration Form
Child's Full Name
*
First Name
Middle Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
Gender
*
Male
Female
City of Birth
*
Is this your first child?
*
Yes
No
If no, how many children do you have?
*
Were your other children Baptized at St. Jude?
*
Yes
No
Have you attended Baptism classes before?
*
Yes
No
Which Baptism date do you prefer?
*
-
Month
-
Day
Year
Date
If necessary, which Baptism class will you be attending?
*
-
Month
-
Day
Year
Date
Father's Name
*
First Name
Last Name
Father's religion
*
Mother's Name
*
First Name
Last Name
Mother's maiden name
*
Mother's religion
*
Family's email
*
example@example.com
Best Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Are you a member of St. Jude?
*
Yes
No
Are you married?
*
Yes
No
Were you married by a priest?
*
Yes
No
Place/Church of marriage
*
Godmother's Name
*
First Name
Last Name
Birthdate
*
-
Month
-
Day
Year
Date
Is the Godmother Catholic?
*
Yes
No
Godfather's Name
*
First Name
Last Name
Birthdate
*
-
Month
-
Day
Year
Date
Is the Godfather Catholic?
*
Yes
No
Submit
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