Saint Theresa Parish Baptism Registration Form

Baptism Information
Registered in the Parish?
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Date of Registration //
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Date of Initial Call to the Office //
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Father's Full Name
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Father's Religion
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Mother's Full Name
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Mother's Maiden Name
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Mother's Religion
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Address
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Home Phone --
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Work Phone --
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Have you had children baptized at Saint Theresa in the past? If yes, provide year.
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Full Name Of Child
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Child's Date Of Birth //
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City and State of Birth
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Sex
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Was Child Adopted?
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Was the Child privately Baptized?
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Godparents
Godfather
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Catholic?
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Christian Witness?
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Godmother
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Catholic?
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Christian Witness?
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OFFICE USE ONLY:
Needs Mentor?
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Mentor Assigned
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Letter Sent
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Session Completed
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Date of Baptism
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Time
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Baptizer
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