Baptismal Record Form 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 PhoneThis field is for validation purposes and should be left unchanged. Δ
