Baptism Request Form

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Baptism Request Form
The maximum number of form submissions has been reached. This form is currently not available.
- This form must be completed by a parent/guardian of the child to be baptized. Once you submit the form, the Parish Office will reach out to register you for a Baptism Prep Class and reserve a date for your child's baptism.
  
  If you have any questions, please contact the Parish Office at 412-787-2140.
- Select a Church: REQUIRED Please fill out this field.
- Family Name REQUIRED Please fill out this field. Please enter valid data.
- Parish where parents are registered REQUIRED Please fill out this field.
- Child's Name (first and middle), if known Please enter valid data.
- Address 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.
- Father's Name (First, Middle, Last) REQUIRED Please fill out this field. Please enter valid data.
- Mother's Name (First, Middle, Last) REQUIRED Please fill out this field. Please enter valid data.
- Mother's Maiden Name (if applicable) Please enter valid data.
- Child's birth date, if already born Please enter a date.
- City of Child's birth, if already born Please enter valid data.
- Gender
- Was the child baptized privately? REQUIRED Yes No Please fill out this field.
- 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.
- Godfather Name, PARISH Please enter valid data.
- Godmother Name, PARISH Please enter valid data.
- Comments/Questions? Please enter valid data.
Submit

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