Our Lady of Perpetual Help Church
Request for Infant/Young Child Baptism
Proposed Baptism Date
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Date
Family Name
Date
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Day
Year
Date
Street
CityState
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Email
Child's information
First Name
Middle
Last
Date of Birth
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Month
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Day
Year
Date
City State
Parents
First
Middle
Last
Religion
First
Middle
Religion
Godparents
First
Middle
Last
Religion
First
Middle
Last
Religion
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Baptism
Baptism Baptism Seminar for Parents and Godparents
$
75.00
Quantity
1
2
3
4
5
6
7
8
9
10
Payment Methods
Credit Card
Apple Pay
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Google Pay
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Cash App Pay
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ACH Bank Transfer
Birth Certificate
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