Our Lady of Perpetual Help Church
Request for Infant/Young Child Baptism
Proposed Baptism Date
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Family Name
Date
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Street
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Email
Child's information
First Name
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Date of Birth
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City State
Parents
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Middle
Last
Religion
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Middle
Maiden Name
Religion
Godparents
First
Middle
Last
Religion
First
Middle
Last
Religion
Birth Certificate
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Clergy you would like to perfom the Baptims
Please Select
Dcn. Mark Silvia
Dcn. Dennis O’Neil
Dcn. Daniel Ramos
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