St. Mary of the Lake

Catholic Church - Plymouth, MN

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Baptism Registration

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- Name of Child (first, middle, last) REQUIRED Please fill out this field. Please enter valid data.
- Gender Male Female
- 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.
- Email address Please enter valid data.
- Telephone Number REQUIRED Please fill out this field. Please enter valid data.
- Place of Birth (city) REQUIRED Please fill out this field. Please enter valid data.
- Date of Birth REQUIRED Please fill out this field. Please enter valid data.
- Father Please enter valid data.
- Mother (include maiden name) REQUIRED Please fill out this field. Please enter valid data.
- Godfather Please enter valid data.
- Godmother Please enter valid data.
- Member of the Parish REQUIRED Yes No Please fill out this field.
- Marriage Witnessed by a Priest REQUIRED Yes No Please fill out this field.
- Is this your first child baptized at St. Mary of the Lake REQUIRED Yes No Please fill out this field.
- Date of Baptism (leave blank, to be filled in by Fr. Lybarger) Please enter valid data.
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