Saint Joseph Cathedral - Data for Baptism Register

Please fill out this form in preparation for a Baptism at Saint Joseph Cathedral.

To Be Filled Out by Parents:
Name of Child:
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Gender:
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Age of Child: Years
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Age of Child: Months
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Residence Address:
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Phone Number: -- ext
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E-mail
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 A copy of the submitted form will be sent to this E-mail address.
Date of Birth: //
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Place of Birth:
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Date of Baptism: //
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Father's Full Name:
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Religion of Father:
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Mother's Maiden Name:
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Religion of Mother:
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Church Where Parents Were Married:
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Godfather's Name:
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Is the Godfather a Catholic?
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Godmother's Name:
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Is the Godmother a Catholic?
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Is Either Godparent Represented by Proxy?
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Was the Child Privately Baptized?
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Was the Child Adopted?
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This is NOT a Certificate of Baptism.
To be filled out by Cathedral Office
Remarks:
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Name of Clergy
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