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814.864.0622 5145 Peach Street Erie, PA 16509

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Baptism Registration Form

Please complete the following form if you wish to schedule a baptism at Saint George Church.

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This field is for validation purposes and should be left unchanged.

Child Information

Child's Name (first, middle, last)(Required)

Child's Gender(Required)

Male

Female

Child's Date of Birth(Required)

MM slash DD slash YYYY

Child's Place of Birth (City, State)(Required)

Parent Information

Father's Name (first, middle, last)(Required)

Father's Phone Number(Required)

Father's Religion(Required)

Father's Email(Required)

Mother's Name (first, middle, last)(Required)

Mother's Maiden Name(Required)

Mother's Phone Number(Required)

Mother's Religion(Required)

If married, were you married by a Catholic priest or deacon?(Required)

Date of Marriage

MM slash DD slash YYYY

Do you have other children? If so, are they baptized Catholic?(Required)

Have you attended a baptismal preparation class in the last five years? If yes, where?(Required)

Family Information

Are you registered members of Saint George Parish?(Required)

If no, where are you registered?(Required)

Home Address(Required)

City, State, Zip Code(Required)

Godparent Information

Godfather's Name(Required)

Godfather's Religion(Required)

Godfather's Home Parish(Required)

Sacraments Godfather Has Received?(Required)

Baptism

First Holy Communion

Confirmation

None

Not sure

If married, was he married in the Catholic Church?(Required)

Godmother's Name(Required)

Godmother's Religion(Required)

Godmother's Home Parish(Required)

Sacraments Godmother Has Received?(Required)

Baptism

First Holy Communion

Confirmation

None

Not sure

If married, was she married in the Catholic Church?(Required)

Roxanne Kleckner

Office & Faith Formation Assistant

Email

Office Hours

Monday-Thursday:
9:00 AM-3:00 PM Friday:
9:00 AM-1:00 PM Contact Us

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