Pre Baptismal Information Form Page 4
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6Parents are: (check one or more)
________Married by a Catholic Priest
________Separated
________Civil Marriage
________Divorced
________Unmarried Parent (please include a copy of child’s Birth Certificate)
Faith Practice of Parent (s)
(Check all appropriate boxes)
MASS ATTENDANCE:
FATHER
MOTHER
Weekly
________
________
Occasionally (Once A Month)
________
________
Seldom (Holidays)
________
________
Never
________
________
Baptized Catholic
________
________
Penance/Eucharist
________
________
Other children living with parents
NAME
CURRENT AGE
BAPTISED(Y/N) PENANCE/EUCHARIST(Y/N) CONFIRMED(Y/N)
:
Comments
Concerns/Special Circumstances:
Details for Out of Parish Baptism:
Parish
City, State
Date
Approved:
S.A.M.S.’ (St. Andrew’s Moms) is an active ministry for mothers with young children at St. Andrew’s.
I give my permission to publish my child’s name in the S.A.M.S.’ monthly Newsletter.
Parent’s signature
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