Baptism Registration Form

Please call John Palma in the Parish Office at 203-652-1140 to set a date and time for your child's baptism.

Note: 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.

Once you have the date and time from John Palma, please fill out the Baptismal Registration Form below - Thank you

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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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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