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Baptism Online Form

- Sacraments
  - Sacraments of Initiation
    
    Baptism
    
    Baptism Online Form
    
    Holy Communion
    Confirmation
  - Sacraments of Healing
    
    Reconciliation
    Anointing of the Sick
  - Sacraments of Service
    
    Holy Orders
    Marriage

Baptism Information
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- Child's Information
  
  Child's First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Child's Middle Name REQUIRED Please fill out this field. Please enter valid data.
  
  Child's Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Child's Birth Date REQUIRED Please fill out this field. Please enter valid data.
  
  Child's City of Birth REQUIRED Please fill out this field. Please enter valid data.
- Fathers Information
  
  Father's First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Father's Middle Name REQUIRED Please fill out this field. Please enter valid data.
  
  Father's Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Father's Religon REQUIRED Please fill out this field. Please enter valid data.
  
  Address REQUIRED Please fill out this field. Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  Phone Number (Day) REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Phone Number (Evening) REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
- Mothers Information
  
  Mother's First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Mother's Middle Name REQUIRED Please fill out this field. Please enter valid data.
  
  Mother's Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Mother's Maiden Name REQUIRED Please fill out this field. Please enter valid data.
  
  Mother's Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Address REQUIRED Please fill out this field. Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  Phone Number (Day) REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Phone Number (Evening) REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
- Godparents Information
  
  Godparent's Name REQUIRED Please fill out this field. Please enter valid data.
  
  God Parents Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Godparent's Name REQUIRED Please fill out this field. Please enter valid data.
  
  God Parents Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Proxy's Name (If God Parents Will not be Present) Please enter valid data.
- Where do you Attend Mass REQUIRED Please fill out this field. Please enter valid data.
- For Office Use Only
  
  Prep Class Please enter valid data.
  
  Cerificate Please enter valid data.
  
  Recorded Please enter valid data.
  
  PDS Please enter valid data.
  
  Priest/Deacon Celebrating Please enter valid data.
- Email REQUIRED Please fill out this field. Please enter an email address.
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St. Henry Catholic Church

Gresham, Oregon

Baptism Online Form

Baptism Information