Baptism Record – St. Augustine & St. Edward Parishes

Parish*

Child Information

Name of Child*

First Middle Last

Sex of Child*

Child Date of Birth*

Child Place of Birth*

City, State

Father Name*

First Middle Last

Religion*

Mother Name*

First Middle Last

Mother Maiden Name

Religion*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Father Email*

Mother Email*

Father Phone Number*

Mother Phone Number*

Registered at St. Augustine or St. Edward Parish*

Marital Status*

Place of Marriage

Possible Dates that may work for Baptism

Godfather Name*

First Middle Last

Religion*

Godmother Name*

First Middle Last

Religion*