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Baptism Registration
Baptism Registration
Baptism Registration Form
If you are interested in having your child baptized at St. Peter's, please fill out and submit this form to be contacted by a member of our staff.
Step 1 of 3 - Family Information
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Today's Date
*
Are you a registered parishioner of St. Peter's?
*
Please select
Yes
No
Family Name
*
Address
*
Street Address
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Primary Phone Number
*
Secondary Phone Number
Primary Email
*
Secondary Email
Father's Birth Name
*
First
Middle
Last
Father's Present Name (if different)
First
Middle
Last
Father's Religion
*
Please Select
Catholic
Lutheran
Episcopalian\Anglican
Presbyterian
Baptist
Methodist
Christian - other
Jewish
Muslim
Non-Christian - other
Mother's Birth Name
*
First
Middle
Last
Mother's Present Name (if different)
First
Middle
Last
Mother's Religion
*
Please Select
Catholic
Lutheran
Episcopalian\Anglican
Presbyterian
Baptist
Methodist
Christian - other
Jewish
Muslim
Non-Christian - other
Are the mother & father married?
*
Please Select
Yes
No
Name of the church or institution where you were married?
*
What city and state is the church or institution where you were married located?
*
Who was the officiant at your wedding?
*
Please Select
Catholic Priest
Catholic Deacon
Non-Catholic Clergy Member
Non-Clergy
If you selected "Non-Catholic Clergy", please specify
*
Name of Officiant
*
Has the child for whom you wish to be baptized been born yet?
*
Please select
Yes
No
Child's Name (First, Middle, Last)
*
Child's Birth Date
*
City of Birth
*
Child's Sex
*
Please select
Male
Female
What number child is this for you?
*
Please Select
1
2
3
4
5
6
7
8
9
10
Other
Have you attended a baptism class in the past five years?
*
Please Select
Yes
No
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Sunday's Homily
Two Postures — December 16, 2018
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