Baptism information

St. Francis Xavier Church, Willard, Ohio

Name of child _______________________________________________________ Sex _______

Date of Birth (mm/dd/yy) ________________ Place of birth _____________________________

Date of Baptism _______________ Time ____________ Celebrant _______________________

Parents registered in parish:  Yes   No     Baptism classes attending ____________________

Father ________________________________________________ Religion _________________

Mother _________________________Maiden_______________ Religion _________________

Place of Marriage _______________________________________ Validity _________________

Home Address, city, state, zip ___________________________________________________________

Telephone _____________________________________ e-mail ___________________________________

Godfather __________________________________________ Telephone ________________

Address, city, state, zip ___________________________________________________________

Baptism classes attending __________________________ Parish ________________________

Godmother _________________________________________ Telephone _________________

Address, city, state, zip ___________________________________________________________

Baptism classes attending __________________________ Parish ________________________

 

_______ Child’s Birth certificate.

_______ Godfather’s Confirmation certificate.

_______ Godfather’s Marriage certificate.

_______ Godmother’s Confirmation certificate.

_______ Godmother’s Marriage certificate.

_______ Pastor’s reference letter (those not of SFX).

_______ Baptism certificate signed and given to family.

_______ Baptism recorded in parish registry.

_______ Stipend offering of $10 received.

Date today ____________________________________

(419)  935-4744

FAX (419) 933-6000

25 W Perry St, Willard, OH 44890, USA

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