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  • Please type information as it will appear in the parish sacramental records and baptismal certificate.
  • Family Information
    • Requested Date of Baptism REQUIRED Please fill out this field. Please enter a date.
    • Family Name REQUIRED Please fill out this field. Please enter valid data.
    • Email REQUIRED Please fill out this field. Please enter an email address.
    • 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.
    • Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
    • Is the family registered at St. Paul Parish? REQUIRED Yes No Please fill out this field.
  • Child Information
    • Child's First Name, Middle Name, & Last Name Please enter valid data.
    • Child's Date of Birth Please enter a date.
    • Child's Place of Birth (City, State) Please enter valid data.
  • Parent Information
    • Father's First & Last Name Please enter valid data.
    • Father's Religion None Roman Catholic Christian Orthodox Jewish Other No Religion
    • Mother's First & Last Name Please enter valid data.
    • Mother's Maiden Name REQUIRED Please fill out this field. Please enter valid data.
    • Mother's Religion None Roman Catholic Christian Orthodox Jewish Other No Religion
    • Are parents married? REQUIRED Yes No Please fill out this field.
    • Did the marriage take place in a Catholic Church? REQUIRED Yes No Please fill out this field.
  • Godparents Information
    • Godfather's Name Please enter valid data.
    • Godfather's Religion None Roman Catholic Christian Orthodox
    • Is Godfather registered at St. Paul Parish? Yes No
    • If no please submit letter of eligibility from Godfather's parish.​​
    • Godmother's Name Please enter valid data.
    • Godfather's Religion None Roman Catholic Christian Orthodox
    • Is Godmother registered at St. Paul Parish? Yes No
    • If no please submit letter of eligibility from Godmother's parish.​​
  • Special Circumstances
    • Complete only if applicable.
    • Will a proxy be present for the godparent(s) Yes No
    • Was the child privately baptized (i.e., emergency situation at home or in hospital)? Yes No

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