Baptism Registration Form

You must be a parishioner FIRST before completing this form. If you are NOT registered with the church, click here to complete your registration before submitting the form below. Thank you.

Please call John Palma in the Parish Office at 203-652-1140 to set a date and time for your child's baptism. Once you have the date and time, please fill out the Baptismal Registration Form below:

 

Main
Full Name of Child:
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Address:
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Phone: --
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Date of Birth: //
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City & State of Birth:
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Preferred Baptism Date: //
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Father's Full Name:
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Father's Religion:
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Father's E-mail Address:
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Mother's First & Maiden Name:
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Mother's Religion:
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Mother's Email Address:
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Parents Married by a Priest?
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Full Name of Godfather:
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Godfather's Religion:
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Full Name of Godmother:
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Godmother's Religion:
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Is either Godparent represented by a Proxy?
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Full Name of Proxy:
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Is Proxy Standing in for Godfather or Godmother?
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Was child privately baptized?
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Is the child adopted?
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