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  • Candidate
    • First Name REQUIRED Please fill out this field. Please enter valid data.

      Last Name REQUIRED Please fill out this field. Please enter valid data.
    • Nickname Please enter valid data.
    • Address REQUIRED Please fill out this field. Please enter valid data.
    • City REQUIRED Please fill out this field. Please enter valid data.

      State REQUIRED AK AL AR AS AZ CA CO CT DC DE FL GA GU HI IA ID IL IN KS KY LA MA MD ME MH MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA PR PW RI SC SD TN TX UT VA VI VT WA WI WV WY Please fill out this field.

      Zip REQUIRED Please fill out this field. Please enter a zip code.
    • Parent Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
    • Youth Phone Number Maximum 20 characters Please enter a phone number.
    • Parent Email REQUIRED Please fill out this field. Please enter an email address.
    • Youth Email REQUIRED Please fill out this field. Please enter an email address.
  • Baptismal Data
    • Candidates Full Name REQUIRED Please fill out this field. Please enter valid data.
    • Date of Brith REQUIRED Please fill out this field. Please enter a date.
    • Place of Birth REQUIRED Please fill out this field. Please enter valid data.
    • Father's Full Name REQUIRED Please fill out this field. Please enter valid data.
    • Mother's Full Name REQUIRED Please fill out this field. Please enter valid data.
    • Date of Baptism REQUIRED Please fill out this field. Please enter a date.
  • My Child Was Baptized at Holy Family Catholic Church REQUIRED Yes No Please fill out this field.
  • If no, please continue to fill out the rest of the form.
  • Additional Baptism Information
    • Parish of Baptism Please enter valid data.
    • Address Please enter valid data.
    • City Please enter valid data.

      State None AK AL AR AS AZ CA CO CT DC DE FL GA GU HI IA ID IL IN KS KY LA MA MD ME MH MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA PR PW RI SC SD TN TX UT VA VI VT WA WI WV WY

      Zip Please enter a zip code.
    • Baptism Godfather Please enter valid data.
    • Baptism Godmother Please enter valid data.

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