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 REQUIRED Please fill out this field. 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.
- Are the parents married? REQUIRED
  Baptism is not denied if the parents are unmarried or not married in the Roman Catholic Church. However, there may be reason to postpone Baptism if parents are not practicing the Faith, or have no intention of living a Catholic life in harmony with the Gospel.
  Yes, in the Catholic Church Yes, but not in the Catholic Church No Please fill out this field.
- Are the parents members of the parish? 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.
- One Godparent must be Catholic- at least 16 years old, baptized, confirmed, living in harmony with the Gospel. If there are 2 Godparents, one must be male and the other must be female.
- Godparent 1 - must be Catholic REQUIRED Please fill out this field. Please enter valid data.
- Godparent 2
  Not required, but if chosen, must be the opposite gender of Godparent 1
  Please enter valid data.
- Date of Baptism (leave blank, to be filled in by Fr. Zipp) Please enter valid data.
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