St. Jane Frances de Chantal
Catholic Church
(Pastorate parish with OLC)

8499 Virginia Ave.
Riviera Beach, Maryland 21122

www.stjane.org

www.stjane.org

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St. Jane Frances de Chantal
Baptism Form

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Thank you for reaching out about having your child Baptized at St. Jane Frances. Please fill out the form below and someone will be in touch with your shortly.
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- Child's Full Name REQUIRED Please fill out this field. Please enter valid data.
- Child's Gender: REQUIRED Please fill out this field. Please enter valid data.
- Child's Date of Birth Please enter valid data.
- Child' Place of Birth (City & State) Please enter valid data.
- Is this your first child? REQUIRED Please fill out this field. Please enter valid data.
- Father's name: REQUIRED Please fill out this field. Please enter valid data.
- Father's Religion: REQUIRED Please fill out this field. Please enter valid data.
- Mother's 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.
- Are Mother and Father married? REQUIRED Please fill out this field. Please enter valid data.
- Address: REQUIRED Please fill out this field. Please enter valid data.
- Email: Please enter valid data.
- Cell Phone Number: REQUIRED Please fill out this field. Please enter valid data.
- Godparent Name #1 (if you know Godparents at this point): Please enter valid data.
- Godparent #1 Religion: Please enter valid data.
- Godparent Name #2 (if you know Godparents at this point): Please enter valid data.
- Godparent #2 Religion: Please enter valid data.
- Are either Godparents members of St. Jane Frances? Please enter valid data.
- Any additional information that you would like us to know:
- I understand that my child's baptism date will be scheduled once the requested Godparent/Sponsor Form and registration form are returned to the parish office. REQUIRED Please fill out this field. Please enter valid data.
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St. Jane Frances de Chantal Baptism Form

St. Jane Frances de Chantal
Baptism Form