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            St. Timothy Church                                                               Baptismal Preparation Application

Date of Preparation Class: _________________________________________ Time: ________________

 

Parents’ Name: ________________________________________________________________________

 

Address : ______________________________________________________ ______________________

 

Phone Number: _________________________________

 

Date of Baptism __________________________________________________ Time: _______________

 

CHILD’S  NAME ________________________________________________________________________

 

Date of Birth: ________________________________ City of Birth: ______________________________

 

Father’s Name: _______________________________________________ Religion: _________________

 

Mother’s Maiden Name: _______________________________________ Religion: _________________

 

God Fathers’ Name: ____________________________________________________________________

 

God Mothers’ Name: ___________________________________________________________________

 

·         Was the child baptized privately? ___________________________________________________