Sacred Heart of Jesus Seattle

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Parents Form

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  ______________________________________________________________________________
  
  GENERAL INFORMATION
  
  Is the baptism at Sacred Heart or another parish? REQUIRED Please fill out this field.
  
  If you selected "No" in the previous question, please provide the following church information.
  
  Church Name Please enter valid data.
  
  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.
  
  Provide city, street address, and country information if the baptism will be in another country.
  
  Contact Name REQUIRED Please fill out this field. Please enter valid data.
  
  Contact Email REQUIRED Please fill out this field. Please enter an email address.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  *Due to varying country postage costs, baptism verification letters will only be emailed to the church. If the church requires the original letter (with Church seal), the parents will be responsible for mailing the letter.
  
  ______________________________________________________________________________
  
  NAME OF CHILD BEING BAPTIZED
  
  (For middle initial, please include in the "First Name" field)
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  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.
  
  City & Country (If outside United States)
  
  Race & Ethnic Background REQUIRED Please fill out this field.
  
  ______________________________________________________________________________
  
  NAME OF FATHER
  
  (For middle initial, please include in the "First Name" field)
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Street Address (Include Apt.# if applicable) REQUIRED Please fill out this field. Please enter valid data.
  
  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.
  
  Religion - Catholic REQUIRED Please fill out this field.
  
  If "No", what denomination? Please enter valid data.
  
  Have you attended and completed a Baptism preparation class? REQUIRED Please fill out this field.
  
  ______________________________________________________________________________
  
  NAME OF MOTHER
  
  (For middle initial, please include in the "First Name" field)
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Street Address (Include Apt.# if applicable) REQUIRED Please fill out this field. Please enter valid data.
  
  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.
  
  Religion - Catholic REQUIRED Please fill out this field.
  
  If "No", what denomination? Please enter valid data.
  
  Have you attended and completed a Baptism preparation class? REQUIRED Please fill out this field.
  
  * I acknowledge that the information provided on this form is true.
  
  Submit
  
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