• Printable Baptismal Application Form
  
  Forma Para Solicitar Bautismo

• ONLINE BAPTISMAL REGISTRATION FORM

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  • Child's Full Name REQUIRED Please fill out this field. Please enter valid data.
  • Child's Date of Birth REQUIRED Please fill out this field. Please enter a date.
  • Child's Place of Birth REQUIRED Please fill out this field. Please enter valid data.
  • Home Street Address REQUIRED Please fill out this field. Please enter valid data.
  • City REQUIRED Please fill out this field. Please enter valid data.

    State REQUIRED AK AL AR AS AZ CA CO CT DC DE FL GA GU HI IA ID IL IN KS KY LA MA MD ME MH MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA PR PW RI SC SD TN TX UT VA VI VT WA WI WV WY Please fill out this field.

    Zip REQUIRED Please fill out this field. Please enter a zip code.
  • 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.
  • Father's Phone Number REQUIRED Please fill out this field. Please enter a phone number.
  • Mother's Full Name (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.
  • Mother's Phone Number REQUIRED Please fill out this field. Please enter a phone number.
  • Are parents members of St. Columba? REQUIRED (Select One) Yes No Please fill out this field.
  • Were parents married by a priest in the Catholic Church? REQUIRED (Select One) Yes No Please fill out this field.
  • Was the child baptized privately? REQUIRED (Select One) Yes No Please fill out this field.
  • Was the child adopted? REQUIRED (Select One) Yes No Please fill out this field.
  • Godfather's Name REQUIRED Please fill out this field. Please enter valid data.
  • Godfather's Religion REQUIRED Please fill out this field. Please enter valid data.
  • Name of Godfather's Parish (City & State) REQUIRED Please fill out this field. Please enter valid data.
  • Godmother's Name REQUIRED Please fill out this field. Please enter valid data.
  • Godmother's Religion REQUIRED Please fill out this field. Please enter valid data.
  • Name of Godmother's Parish (City & State) REQUIRED Please fill out this field. Please enter valid data.
  • Is either God represented by proxy? REQUIRED (Select One) Yes No Please fill out this field.
  • Which one? None Both Godfather Godmother
  • Today's Date REQUIRED Please fill out this field. Please enter a date.
  • Name of person filling this form out? REQUIRED Please fill out this field. Please enter valid data.

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