Immaculate Conception Church of BVM

New Oxford, PA

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Baptism Registration

- Liturgy

REGISTERING FOR BAPTISM

Please take a moment to fill out the form below to register your child for the sacrament of baptism. The information you provide is very important. We use some of it to update our parish census and also to fill out the baptism register. There are some questions that are not required such as the one saying "if you checked Non-Catholic, please list your denomination." This question is helpful to the clergy to personalize the baptism when it comes to explaining the Rite to those visiting our Chuch for the baptism.
BAPTISM REGISTRATION FORM
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- Name of Child (First, Middle, Last) REQUIRED Please fill out this field. Please enter valid data.
- Date of Birth REQUIRED Please fill out this field. Please enter valid data.
- Location of Birth (Name of Hospital, City, & state) REQUIRED Please fill out this field. Please enter valid data.
- Parental Information: Address REQUIRED Please fill out this field.
- 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.
- Name of Father REQUIRED Please fill out this field. Please enter valid data.
- Phone Number REQUIRED Please fill out this field. Please enter a phone number.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Religious Affiliation REQUIRED Catholic Non-Catholic Please fill out this field.
- If you checked Non Catholic, please list your denomination. Please enter valid data.
- Please describe your Church attendance REQUIRED Weekly Monthly Occasionally Seldom Please fill out this field.
- Name of Mother (If married, please list maiden name) REQUIRED Please fill out this field. Please enter valid data.
- Phone Number REQUIRED Please fill out this field. Please enter a phone number.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Religious Affiliation Catholic Non-Catholic
- If you checked Non Catholic, please list your denomination. Please enter valid data.
- Please describe your Church attendance REQUIRED Weekly Monthly Occasionally Seldom Please fill out this field.
- Parental Information: Are you married validly within the Catholic Church REQUIRED Yes No Please fill out this field.
- If married: Location of Marriage
- Have you participated in a Baptism formation program within the last year? REQUIRED Yes No Please fill out this field.
- Name of Godfather (First, Middle, Last) REQUIRED Please fill out this field. Please enter valid data.
- Religion and Church of Registration REQUIRED Please fill out this field. Please enter valid data.
- Name of Godmother (First, Middle, Last) REQUIRED Please fill out this field. Please enter valid data.
- Religion and Church of Registration REQUIRED Please fill out this field. Please enter valid data.
- Name of Proxy for Godfather (First, Middle, Last) Please enter valid data.
- Religion and Church of Registration Please enter valid data.
- Name of Proxy for Godmother Please enter valid data.
- Religion and Church of Registration Please enter valid data.
- Are you a member of Immaculate Conception Church? (If no we will need a letter of permission from the pastor of where you are registered before we can schedule the baptism REQUIRED Yes No Please fill out this field.
- Baptisms are usually scheduled after the Saturday Evening Mass and the last Mass on Sunday morning. Please offer some dates and times. If the weekend times do not work for your schedule, we can schedule the baptism according to your needs. REQUIRED Please fill out this field.
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