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The maximum number of form submissions has been reached. This form is currently not available.
Parents
Please enter the following information about the
parents
of the child to be baptized
Father
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Last Name
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Religion of father
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Mother
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Last Name
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Religion of mother
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St. Clare parishioners?
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Please enter the following information for each
child
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Number of Children
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Child 1
First Name
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Last Name
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Date of birth
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Sex of child
REQUIRED
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Was child adopted?
REQUIRED
Yes
No
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Date of Baptism
Please select a date for the baptism
REQUIRED
May 14, 2023
July 9, 2023
September 10, 2023
November 12, 2023
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Godparents of the Child
Please be sure that your chosen godparents meet the qualifications.
OPTIONS:
One godparent
Two godparents (must be a man and a woman)
One godparent and one Christian witness (must be a man and a woman)
Godfather
First Name
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Last Name
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Address of godfather
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City
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State
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Zip
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Religion of godfather
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Email
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Will godfather be represented by a proxy?
REQUIRED
Yes
No
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Name of proxy (if applicable)
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Godmother
First Name
REQUIRED
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Last Name
REQUIRED
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Address of godmother
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City
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State
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KY
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MD
ME
MH
MI
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MO
MS
MT
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ND
NE
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NV
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Zip
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Religion of godmother
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Email
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Please enter an email address.
Will godmother be represented by a proxy?
REQUIRED
Yes
No
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Name of proxy (if applicable)
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Child 2
First Name
REQUIRED
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Last Name
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Date of birth
REQUIRED
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Please enter a date.
Sex of child
REQUIRED
Male
Female
Please fill out this field.
Was child adopted?
REQUIRED
Yes
No
Please fill out this field.
Date of Baptism
Please select a date for the baptism
REQUIRED
May 14, 2023
July 9, 2023
September 10, 2023
November 12, 2023
Please fill out this field.
Godparents of the Child
Please be sure that your chosen godparents meet the qualifications.
OPTIONS:
One godparent
Two godparents (must be a man and a woman)
One godparent and one Christian witness (must be a man and a woman)
Godfather
First Name
REQUIRED
Please fill out this field.
Please enter valid data.
Last Name
REQUIRED
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Please enter valid data.
Address of godfather
REQUIRED
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Please enter valid data.
City
REQUIRED
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Please enter valid data.
State
REQUIRED
AK
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AR
AS
AZ
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CO
CT
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DE
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GA
GU
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IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MH
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
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OK
OR
PA
PR
PW
RI
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SD
TN
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UT
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Zip
REQUIRED
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Please enter a zip code.
Religion of godfather
REQUIRED
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Please enter valid data.
Email
REQUIRED
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Please enter an email address.
Will godfather be represented by a proxy?
REQUIRED
Yes
No
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Name of proxy (if applicable)
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Godmother
First Name
REQUIRED
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Please enter valid data.
Last Name
REQUIRED
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Please enter valid data.
Address of godmother
REQUIRED
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Please enter valid data.
City
REQUIRED
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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
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OK
OR
PA
PR
PW
RI
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SD
TN
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UT
VA
VI
VT
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Zip
REQUIRED
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Please enter a zip code.
Religion of godmother
REQUIRED
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Please enter valid data.
Email
REQUIRED
Please fill out this field.
Please enter an email address.
Will godmother be represented by a proxy?
REQUIRED
Yes
No
Please fill out this field.
Name of proxy (if applicable)
Please enter valid data.
Child 3
First Name
REQUIRED
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Please enter valid data.
Last Name
REQUIRED
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Please enter valid data.
Date of birth
REQUIRED
Please fill out this field.
Please enter a date.
Sex of child
REQUIRED
Male
Female
Please fill out this field.
Was child adopted?
REQUIRED
Yes
No
Please fill out this field.
Date of Baptism
Please select a date for the baptism
REQUIRED
May 14, 2023
July 9, 2023
September 10, 2023
November 12, 2023
Please fill out this field.
Godparents of the Child
Please be sure that your chosen godparents meet the qualifications.
OPTIONS:
One godparent
Two godparents (must be a man and a woman)
One godparent and one Christian witness (must be a man and a woman)
Godfather
First Name
REQUIRED
Please fill out this field.
Please enter valid data.
Last Name
REQUIRED
Please fill out this field.
Please enter valid data.
Address of godfather
REQUIRED
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Please enter valid data.
City
REQUIRED
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Please enter valid data.
State
REQUIRED
AK
AL
AR
AS
AZ
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CT
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DE
FL
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GU
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IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MH
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
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OK
OR
PA
PR
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UT
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Zip
REQUIRED
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Please enter a zip code.
Religion of godfather
REQUIRED
Please fill out this field.
Please enter valid data.
Email
REQUIRED
Please fill out this field.
Please enter an email address.
Will godfather be represented by a proxy?
REQUIRED
Yes
No
Please fill out this field.
Name of proxy (if applicable)
Please enter valid data.
Godmother
First Name
REQUIRED
Please fill out this field.
Please enter valid data.
Last Name
REQUIRED
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Please enter valid data.
Address of godmother
REQUIRED
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Please enter valid data.
City
REQUIRED
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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
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Zip
REQUIRED
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Please enter a zip code.
Religion of godmother
REQUIRED
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Please enter valid data.
Email
REQUIRED
Please fill out this field.
Please enter an email address.
Will godmother be represented by a proxy?
REQUIRED
Yes
No
Please fill out this field.
Name of proxy (if applicable)
Please enter valid data.
Child 4
First Name
REQUIRED
Please fill out this field.
Please enter valid data.
Last Name
REQUIRED
Please fill out this field.
Please enter valid data.
Date of birth
REQUIRED
Please fill out this field.
Please enter a date.
Sex of child
REQUIRED
Male
Female
Please fill out this field.
Was child adopted?
REQUIRED
Yes
No
Please fill out this field.
Date of Baptism
Please select a date for the baptism
REQUIRED
May 14, 2023
July 9, 2023
September 10, 2023
November 12, 2023
Please fill out this field.
Godparents of the Child
Please be sure that your chosen godparents meet the qualifications.
OPTIONS:
One godparent
Two godparents (must be a man and a woman)
One godparent and one Christian witness (must be a man and a woman)
Godfather
First Name
REQUIRED
Please fill out this field.
Please enter valid data.
Last Name
REQUIRED
Please fill out this field.
Please enter valid data.
Address of godfather
REQUIRED
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Please enter valid data.
City
REQUIRED
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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
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Zip
REQUIRED
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Please enter a zip code.
Religion of godfather
REQUIRED
Please fill out this field.
Please enter valid data.
Email
REQUIRED
Please fill out this field.
Please enter an email address.
Will godfather be represented by a proxy?
REQUIRED
Yes
No
Please fill out this field.
Name of proxy (if applicable)
Please enter valid data.
Godmother
First Name
REQUIRED
Please fill out this field.
Please enter valid data.
Last Name
REQUIRED
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Please enter valid data.
Address of godmother
REQUIRED
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Please enter valid data.
City
REQUIRED
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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
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Zip
REQUIRED
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Please enter a zip code.
Religion of godmother
REQUIRED
Please fill out this field.
Please enter valid data.
Email
REQUIRED
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Please enter an email address.
Will godmother be represented by a proxy?
REQUIRED
Yes
No
Please fill out this field.
Name of proxy (if applicable)
Please enter valid data.
Child 5
First Name
REQUIRED
Please fill out this field.
Please enter valid data.
Last Name
REQUIRED
Please fill out this field.
Please enter valid data.
Date of birth
REQUIRED
Please fill out this field.
Please enter a date.
Sex of child
REQUIRED
Male
Female
Please fill out this field.
Was child adopted?
REQUIRED
Yes
No
Please fill out this field.
Date of Baptism
Please select a date for the baptism
REQUIRED
May 14, 2023
July 9, 2023
September 10, 2023
November 12, 2023
Please fill out this field.
Godparents of the Child
Please be sure that your chosen godparents meet the qualifications.
OPTIONS:
One godparent
Two godparents (must be a man and a woman)
One godparent and one Christian witness (must be a man and a woman)
Godfather
First Name
REQUIRED
Please fill out this field.
Please enter valid data.
Last Name
REQUIRED
Please fill out this field.
Please enter valid data.
Address of godfather
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.
Religion of godfather
REQUIRED
Please fill out this field.
Please enter valid data.
Email
REQUIRED
Please fill out this field.
Please enter an email address.
Will godfather be represented by a proxy?
REQUIRED
Yes
No
Please fill out this field.
Name of proxy (if applicable)
Please enter valid data.
Godmother
First Name
REQUIRED
Please fill out this field.
Please enter valid data.
Last Name
REQUIRED
Please fill out this field.
Please enter valid data.
Address of godmother
REQUIRED
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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
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Please enter a zip code.
Religion of godmother
REQUIRED
Please fill out this field.
Please enter valid data.
Email
REQUIRED
Please fill out this field.
Please enter an email address.
Will godmother be represented by a proxy?
REQUIRED
Yes
No
Please fill out this field.
Name of proxy (if applicable)
Please enter valid data.
Acknowledgement
The parents of the child to be baptized acknowledge that the following documentation is needed before the baptism can take place:
Photo ID's for both parents
Photo ID's for (both) godparent(s)
State-issued birth certificate of the child being baptized
Baptism Requirements and Consent Form (signed by parents)
Godfather and/or Godmother Baptismal Covenant Forms (signed by godparent(s))
Letter of permission from your pastor, if parents are not parishioners at St. Clare
Documentation of the baptismal preparation class, for both parents and for (both) godparent(s)
There is a suggested donation for the baptism, to cover the cost of the baptismal candle and the baptismal garment (i.e. bib for babies, scarf for older ones)
I Acknowledge and Agree to the Above
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