17 Chestnut Street, Peabody MA 01960
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Formulario para el Bautismo
Baptism Registration Form
Formulario para el Bautismo
Fecha del Bautismo / Date of Baptism
Required*
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Nombre completo del Niño/a
First Name*
Middle Name
Last Name*
Fecha del Nacimiento
Required*
Month
January
February
March
April
May
June
July
August
September
October
November
December
/
Day
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2
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Dirección / Address
Street 1*
Street 2
City*
State*
-- select --
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Maryland
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Texas
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Washington
Washington D.C.
West Virginia
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None--International
Zip*
Número del Teléfono / Phone
Required*
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ext
--select--
Home
Mobile
Work
Correo Electrónico / E-mail
Required*
Nombre del Padre / Father's Name
First Name*
Last Name*
Religión del Padre / Father's Religion
Required*
Nombre de soltera de la Madre / Mother's Maiden Name
First Name*
Last Name*
Religión de la Madre / Mother's Religion
¿Casados? / Married
Por Civil
Por la Iglesia
Nombre del Padrino / Godfather's Name
First Name*
Last Name*
Religión del Padrino
Nombre de la Madrina / Godmother's Name
First Name*
Last Name*
Religión de la Madrina
Celebrante del Bautismo / Celebrant of Baptism
First Name
Last Name
Spam Capture
Importante / Important
Favor de enviar una copia del certificado de nacimiento del niño/a con este formulario al: padrepaul@comcast.net. Please send a copy of the child’s birth certificate with this form to: padrepaul@comcast.net
Solicitudes especiales
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