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Blank for Baptism Register
Name of Child
Male___ Female___
Residence
Telephone Number
Date of Birth
Place of Birth
Date of Baptism
Father’s Name
Religion of Father
Mother’s Maiden Name ___
Religion
Were Parents Married by a Catholic Priest?
Godfather
Is Godfather a Catholic?
Godmother
Is Godmother Catholic?
Is either Godparent represented by Proxy?
Name of Proxy
Was the child privately baptized?
Was the child adopted?
Name of Priest or Deacon
Attended Prep Class:
Child added to Family:
Date Baptism Letter Sent:
Date Baptism logged in Registry:
Baptism logged in Computer:
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