Baptism Registration

St Therese

Baptism Preparation

We welcome you and your child to St Therese.  We are pleased that you have chosen to have your child baptized here.  We require that you attend a baptism preparation class prior to the baptism.  If you have attended one within the last three years you are excused this time around.

Please complete this registration form which will allow us to begin the process.

Child
Child's Name
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Birth Date //
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You will need to provide a copy of your child's birth certificate prior to the baptism.
Gender
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Preferred Baptism Date & Time
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Parent #1
Name
  •  
Gender
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Address
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Phone --
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Email
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Faith Tradition
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Registered in this parish?
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Parent #2
Name
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Gender
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Address
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If different from Parent #1
Phone --
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E-mail
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Faith Tradition
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Godparent #1
One godparent must be a baptized, confirmed, and active Catholic.
Name
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Gender
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Faith Tradition
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E-mail
  •  
Godparent #2
Name
  •  
Gender
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Faith Tradition
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E-mail
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Additional Godparents
Some traditions within the Catholic Church allow for more than two Godparents. Please list additional Godparent names here.
Additional Godparent Names
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Parent Signature
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