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Baptism Instruction Registration

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    Baptism Instruction Registration
    
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Staff Contact
- Nancy Dallas
  
  Coordinator of Sacramental
  Preparation & Liturgy of the Word
  
  x761
  nancy.dallasgood-shepherd.org

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- Upcoming Baptsim Instruction Class
  
  Date: Sunday, February 5, 2023 via a Zoom meeting
  Time: 1:00 p.m.
  To register, complete the form below.
- First Name of Child Please enter valid data.
- Middle Name of Child Please enter valid data.
- Last Name of Child Please enter valid data.
- Child to be Baptized Male Female
- Date of Birth Please enter valid data.
- City of Birth Please enter valid data.
- State of Birth Please enter valid data.
- Was Child Adopted? Yes No
- Father's Name: First, Middle & Last REQUIRED Please fill out this field. Please enter valid data.
- Father's Nickname Please enter valid data.
- Mother's Name: First, Middle & Last 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 Nickname Please enter valid data.
- Street 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 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.
- Religion of Father REQUIRED Please fill out this field. Please enter valid data.
- Religion of Mother REQUIRED Please fill out this field. Please enter valid data.
- Were parents married by a priest or a deacon?
- Are parents registered members of Good Shepherd?
- One Godparent needs to be Catholic. In order to schedule your Baptism, Godparents' names must be given at the time of scheduling.
- Godfather's FULL Name Please enter valid data.
- Godfather's Religion Please enter valid data.
- Godmother's FULL Name Please enter valid data.
- Godmother's Religion Please enter valid data.
- Has the child been privately baptized? REQUIRED Yes No Please fill out this field.
- If yes, please indicate the date of private Baptism. Please enter valid data.
- Indicate the date of Baptism Instruction REQUIRED Please fill out this field. Please enter valid data.
- To schedule a Baptism date, please contact Nancy Dallas in the parish office at 513-489-8815 ext. 761.
- _________________________________________________________________________
- INFORMATION BELOW TO BE COMPLETED BY
  PARISH OFFICE STAFF ONLY:
- Date of Baptism: Please enter valid data.
- Baptism Presider: Please enter valid data.
- Confirmed Call: Please enter valid data.
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