Baptismal Form

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Name of Child

First middle last name

Date of Birth

Month Day Year

City of Birth

Father's Name

First Middle Last

Religion of Father

Mother's Maiden Name

First Middle Surname

Religion of Mother

Date of Baptism

Month Day Year

Godfather's Name

Godmother's Name

Name of Priest or Deacon

Is Father

Were Parents married by Priest?

Is either Godparent represented by Proxy?

Name of Proxy(s)

Was the child adopted?

Was the child privately baptized?

Any remarks or observations

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