Baptismal Record Form Δ PhoneThis field is for validation purposes and should be left unchanged.Full Name of Child (as on birth certificate)* First Middle Last Sex* Male Female Date of Birth* Month Day Year PhoneEmail* Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State Zip Place of birth (city/state)*Father's Full Name First Middle Last Mother's Full Maiden Name: First Middle Maiden Last Name Father's ReligionMother's ReligionGodfather's Name First Middle Last ReligionFileMax. file size: 50 MB. Godmother's Name: First Middle Last ReligionUpload your sponsor letter Drop files here or Select files Accepted file types: pdf, jpg, gif, png, Max. file size: 50 MB. Christian WitnessReligionAre the parents married in the Catholic Church?Married in Civil Ceremony?If either Godparent is represented by proxy, give full name:Are the parents registered parishioners of Resurrection Church? Yes No If not, where?Date of Baptismal Preparation ClassBaptism conferred bySignature of ClergyDate Celebrated MM slash DD slash YYYY
