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Baptism

Welcome, Child of God!
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  Child's Information
  
  First Name Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Gender
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Place of Birth Please enter valid data.
  
  Mother's Information
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Maiden Name Please enter valid data.
  
  Mother's Religion Please enter valid data.
  
  Father's Information
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Father's Religion Please enter valid data.
  
  Address Please enter valid data.
  
  Address Line 2 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.
  
  Email Please enter an email address.
  
  Parish Envelope Number Please enter valid data.
  
  If you are not a registered parishioner, please send a "Letter of Delegation" from the Pastor of Home Parish.
  
  Church of Marriage Please enter valid data.
  
  Was the child privately baptized? Yes No
  
  Was the child adopted? Yes No
  
  Godfather's Information
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Godfather Religion Please enter valid data.
  
  Godmother's Information
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Godmother Religion Please enter valid data.
  
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Our Lady of Mt. Carmel

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Baptism

Welcome, Child of God!