London East Central Catholic Family of Parishes

Baptismal Registration Form

Child Information

First Name

Middle Name

Last Name

Date of Birth

Place of Birth (city, province, country)

Family Information

Full Address

Phone Number

Secondary Phone Number

Email Address

Mother's Maiden Name

Mother's First Name

Mother's Religion

Father's Last Name

Father's First Name

Father's Religion

Are you registered at St. Mary's Parish?

Yes

Would you like to receive our bulletin?

Yes

Place of marriage

Date of marriage

Godparents/Witnesses
At least one Godparent has to be Catholic, confirmed, and at least 16 years old. The other Godparent, if not Catholic, he/she must be a baptized Christian. Christians baptized in other than Catholic faith are called Witnesses.

If you are planning to have only one Godparent/Witness, please enter N/A (Not Applicable) in the section that will not have any records.

Please provide Godmother/Witness information (GM/W)

(GM/W) First Name

(GM/W) Last Name

(GM/W) Religion

(GM/W) Has the Sacrament of Confirmation?

Yes

(GM/W) Parish Name and Address

Please provide Godfather/Witness information (GF/W)

(GF/W) First Name

(GF/W) Last Name

(GF/W) Religion

(GF/W) Has the Sacrament of Confirmation

Yes

(GF/W) Parish Name and Address

Baptismal Registration Form

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