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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Baptism Inquiry Form
for
St. Jane Frances & Our Lady of the Chesapeake

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Thank you for reaching out about having your child Baptized at either St. Jane Frances or Our Lady of the Chesapeake. Please fill out the form below and someone will be in touch with your shortly.
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- Which location are you looking to have the Baptism held: REQUIRED St. Jane Frances Our Lady of the Chesapeake Please fill out this field.
- Child's Full Name (First, Middle & Last) 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 REQUIRED Please fill out this field. Please enter valid data.
- Child' Place of Birth (City & State) REQUIRED Please fill out this field. 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.
- City, State & Zip REQUIRED Please fill out this field. Please enter valid data.
- Email: REQUIRED Please fill out this field. 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.
- Is Godparent a member of SJF? (Y/N) 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.
- Is Godparent a member of SJF? Please enter valid data.
- Have you attended the Baptism Preparation Class before? If so, please supply the approximate date. REQUIRED Please fill out this field. 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 requested paperwork is returned to the SJF parish office. REQUIRED Please fill out this field. Please enter valid data.
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Baptism Inquiry FormforSt. Jane Frances & Our Lady of the Chesapeake

Baptism Inquiry Form
for
St. Jane Frances & Our Lady of the Chesapeake