Baptism Registration
"*" indicates required fields
Date requesting for Baptism
First Name
Last Name
Child Gender
Male
Female
Date of Birth
Father's Full Name
Mother's Full Name
Parent’s religion
Chaldean Catholic
Latin Catholic
Orthodox
Other Catholic
Other
Syriac Catholic
Other
Primary Phone of family requesting Baptism
Birth Certificate Upload
Select a File
If you can upload your child's birth certificate in advance this would be helpful.
Submit
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