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Baptism Registration Form

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  IMPORTANT:
  Prior to scheduling a Baptism, please complete this form. All information must be as it appears in the birth certificate to assure that the child’s permanent church record is correct.
  
  Desired Date for Baptism REQUIRED Please fill out this field. Please enter a date.
  
  You will be contacted to confirm your desired date for baptism.
  
  Child Information
  
  Name of Child REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name of Child Maximum 15 characters Please enter valid data.
  
  Last Name of Child REQUIRED Please fill out this field. Please enter valid data.
  
  Gender of Child REQUIRED Please fill out this field.
  
  Home Address REQUIRED Please fill out this field. Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED 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.
  
  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.
  
  Parents Information
  
  Father’s First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Father’s Middle Name Maximum 15 characters Please enter valid data.
  
  Father’s Last 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 Email Please enter an email address.
  
  Mother’s First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Mother’s Middle Name Maximum 15 characters Please enter valid data.
  
  Mother’s Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Mother’s Email Please enter an email address.
  
  Mother’s Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Were the parents married by a Catholic Priest or Deacon? REQUIRED Please fill out this field.
  
  Are either of you a registered parishioner of OLPH? REQUIRED Please fill out this field.
  
  If yes, since when? Please enter valid data.
  
  Godfather Information
  
  Important: A sponsor certificate is required for each Godparent. This should be requested by the Godparent at the Catholic Church that he or she is registered. This must be received by the parish office prior to scheduling the baptism.
  
  Godfather’s First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Godfather’s Middle Name Please enter valid data.
  
  Godfather’s Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Is the Godfather Catholic? REQUIRED Please fill out this field.
  
  Sacraments of the Godfather Baptism Confirmation
  
  Godmother Information
  
  Important: A sponsor certificate is required for each Godparent. This should be requested by the Godparent at the Catholic Church that he or she is registered. This must be received by the parish office prior to scheduling the baptism.
  
  Godmother’s First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Godmother’s Middle Name Please enter valid data.
  
  Godmother’s Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Is the Godmother Catholic? REQUIRED Please fill out this field.
  
  Sacraments of the Godmother Baptism Confirmation
  
  Were the Godparents married by a Catholic Priest or Deacon REQUIRED Please fill out this field.
  
  Was the Child privately baptized? REQUIRED Please fill out this field.
  
  Adopted? REQUIRED Please fill out this field.
  
  If the child is adopted, a copy of the final decree of adoption must be supplied.
  
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Our Lady of Perpetual Help

Catholic Church, Carrollton, GA

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Baptism Registration Form