REQUEST FOR THE CELEBRATION OF BAPTISM

300 Yates Drive ◊ Milton, Ontario L9T 2W3
(289)878-3118 www.stbenedictparish.ca

Child's Name:

First NameMiddle NameLast Name

Date of Birth

MonthDayYear

Place of Birth (City, Town)

Father:

First NameLast Name

Father's Religion (choose one)

If Byzantine Rite, please specify:

Mother:

First NameFamily Name (BEFORE MARRIAGE)

Mother's Religion (choose one)

If Byzantine Rite, please specify:

Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Telephone:

Format: (000) 000-0000.

Email:

example@example.com

Parent's Marriage: Date of Marriage

Date

Church and/or Place of Marriage (City, Town)

If your marriage took place outside the Catholic Church, would you like to discuss having it blessed in the Catholic Church?

SAINT BENEDICT PARISH