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 Religion Mother's Religion Godfather's Name First Middle Last Religion FileMax. file size: 50 MB.Godmother's Name: First Middle Last Religion Upload your sponsor letter Drop files here or Select files Accepted file types: pdf, jpg, gif, png, Max. file size: 50 MB. Christian Witness Religion Are 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 Class Baptism conferred by Signature of Clergy Reset signature Signature locked. Reset to sign again Date Celebrated MM slash DD slash YYYY CAPTCHA Δ
