Catholic Community of Burke & Chateaugay
Catholic Community of CWTR

St. Mary's of the Fort Church

Baptism Form

- Registration Forms

Please fill out the information below if you are wishing to have your child baptised. Once we receive the information we will contact within 24 hours
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- Which Parish to have Baptism? REQUIRED Please fill out this field.
- Name REQUIRED Please fill out this field. Please enter valid data.
- Street 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.
- Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Information about the person being baptized REQUIRED Please fill out this field. Please enter valid data.
- Date of Birth REQUIRED Please fill out this field. Please enter valid data.
- Place of birth (city, state) REQUIRED Please fill out this field. Please enter valid data.
- Was this child adopted? REQUIRED Please fill out this field. Please enter valid data.
- Was this child privately baptized? REQUIRED Please fill out this field. Please enter valid data.
- Are parents married? REQUIRED Please fill out this field. Please enter valid data.
- If yes, were parents married by a Catholic priest? If yes, please list priest and place of marriage. REQUIRED Please fill out this field. Please enter valid data.
- Does family currently attend Mass? REQUIRED Please fill out this field. Please enter valid data.
- Desired date of baptism REQUIRED Please fill out this field. Please enter valid data.
- Desired place of baptism REQUIRED Please fill out this field. Please enter valid data.
- Father's Information full name REQUIRED Please fill out this field. Please enter valid data.
- Religion REQUIRED Please fill out this field. Please enter valid data.
- Mothers Information full name REQUIRED Please fill out this field. Please enter valid data.
- Religion REQUIRED Please fill out this field. Please enter valid data.
- Godfather's full name REQUIRED Please fill out this field. Please enter valid data.
- Religion REQUIRED Please fill out this field. Please enter valid data.
- Godmother's full name REQUIRED Please fill out this field. Please enter valid data.
- Religion REQUIRED Please fill out this field. Please enter valid data.
- Will either godparent be represented by proxy? REQUIRED Yes No Please fill out this field.
- If yes, please give name of proxy REQUIRED Please fill out this field. Please enter valid data.
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