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Baptism Registration Form

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  We are excited to help you prepare for your child’s baptism!
  
  Please complete this form at least 1 to 2 months prior to your desired Baptism date.
  
  Name of Child to be Baptized REQUIRED Please fill out this field. Please enter valid data.
  
  Place of Birth (City, State, Country) REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Father's Full Name REQUIRED Please fill out this field. Please enter valid data.
  
  Father's Email REQUIRED Please fill out this field. Please enter an email address.
  
  Father's Cell REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Mother's Full Name (MAIDEN) REQUIRED Please fill out this field. Please enter valid data.
  
  Mother's Email REQUIRED Please fill out this field. Please enter an email address.
  
  Mother's Cell REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  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.
  
  Father's Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Mother's Religion REQUIRED Please fill out this field. Please enter valid data.
  
  What Parish do you currently attend? Please enter valid data.
  
  Do you prefer to have the Baptism at St. Nicholas Church OR St. William Church? REQUIRED Please fill out this field. Please enter valid data.
  
  Is this your first child? REQUIRED Yes No Please fill out this field.
  
  Godfather's Name Please enter valid data.
  
  Godmother's Name Please enter valid data.
  
  Has one or both Godparent's taken the Baptism Preparation class within the last two years?
  
  Submit

Saint Nicholas and Saint William parish

Los Altos, CA

Baptism Registration Form

We are excited to help you prepare for your child’s baptism!