Baptism Registration Form / Registro de Bautizo

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.

Maiden Name / Apellido de Soltera REQUIRED Please fill out this field. Please enter valid data.

Address/ Direccion 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.

Email Please enter an email address.

Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Catholic? / Catolico? REQUIRED Yes / Si No Please fill out this field.

Parish where you are Member / Iglesia de donde es Miembro REQUIRED Please fill out this field. Please enter valid data.

Participate in Sacraments / Participa en Sacramentos REQUIRED Yes / Si No Please fill out this field.

If you are not Catholic, are you Baptized? / Si no es Catolico, esta Bautizado? REQUIRED Yes / Si No Please fill out this field.

Religion / Religion REQUIRED Please fill out this field. Please enter valid data.

Are you married in the Catholic Church? / Esta casado por la Iglesia Catolica? REQUIRED Yes / Si No Please fill out this field.

If no, by a minister? / Si no, por un ministro? REQUIRED Yes / Si No Please fill out this field.

Do you intend to raise and educate our child in the Catholic faith? / Intena criar y educar a sus hijos en la fe Catolica? REQUIRED Yes / Si No Please fill out this field.

St. MattheW Catholic Church

Tyrone, GA

Baptism Registration Form / Registro de Bautizo