Thank you for taking the time to fill out the following Resurrection Parish Online Baptism Form.
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What is the full name of the child to be baptized? *

 
What is the child's gender? *


 
What is the date of birth? *

 
What is the child's city of birth?

 
What is the father's full name? *

 
Is the father Catholic *

     
 
What is the mother's full maiden name? *

 
Is the mother Catholic? *

     
 
What is the parents' street address? *

 
What is their City, State & Zip Code? *

 
What is the family phone number? *

 
What is their email address?

 
What is the full name of the godmother? *

 
is the godmother Catholic? *

     
 
What is the full name of the godfather? *

 
Is the godfather Catholic? *

     
 
What is the proposed date of the Baptism?

(The actual date and time must be scheduled with one of the priests.)
 
What is the proposed time of the Baptism?

 
Is there anything else you would like to tell us?

Thank you for filling out our Resurrection Parish Baptism Form. Please let us know if you have any questions.