Baptismal Request Form

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Family Last Name Please enter valid data.

Address Please enter valid data.

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Father's Name Please enter valid data.

Religious Affiliation Please enter valid data.

Mother's First and Maiden Names Please enter valid data.

Religious Affiliation Please enter valid data.

Marital Status

Place of Marriage Please enter valid data.

Date of Marriage Please enter a date.

Primary Phone Please enter a phone number.

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Saint Mary of the
Annunciation Church