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Baptism Request

- Sacraments

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- Full name of person to be baptized REQUIRED Please fill out this field. Please enter valid data.
- Date of birth REQUIRED Please fill out this field. Please enter valid data.
- City and state of birth REQUIRED Please fill out this field. Please enter valid data.
- Father's full name REQUIRED Please fill out this field. Please enter valid data.
- Father's religion REQUIRED Please fill out this field. Please enter valid data.
- Mother's full name REQUIRED Please fill out this field. Please enter valid data.
- Mother's maiden name REQUIRED Please fill out this field. Please enter valid data.
- Mother's religion REQUIRED Please fill out this field. Please enter valid data.
- Home address REQUIRED Please fill out this field. Please enter valid data.
- Date married Please enter valid data.
- Church and city/state of marriage Please enter valid data.
- Are parents registered at St. Ann? REQUIRED Please fill out this field.
- Godparent Requirements
  
  * Please see the requirements for godparents listed on the left.
- Godfather - Full Name Please enter valid data.
- Godfather - Religion & Church Name Please enter valid data.
- Godmother - Full name Please enter valid data.
- Godmother - Religion & Church Name Please enter valid data.
- Have you taken a baptism class before? REQUIRED Please fill out this field.
- If yes, year taken and parish/city/state
- Suggested Date of Baptism REQUIRED
  Church office will confirm date
  Please fill out this field. Please enter a date.
- Mass Time Request REQUIRED
  Will be confirmed with a Church Office staff member
  Please fill out this field.
- Celebrant Request REQUIRED Please fill out this field.
- Contact Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Email REQUIRED Please fill out this field. Please enter an email address.
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