Good Shepherd Parish

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Baptismal Registration

- Next Steps

Baptismal Registration Form
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- Child's Information
  
  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 valid data.
  
  Male or Female
  
  Age REQUIRED Please fill out this field. Please enter valid data.
- Parent/Guardian Information
  
  Mother's First Name & Maiden Name REQUIRED Please fill out this field. Please enter valid data.
  
  Father's First & Last Name Please enter valid data.
  
  Street Address REQUIRED Please fill out this field. Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  Province REQUIRED Please fill out this field.
  
  Postal Code REQUIRED Please fill out this field. Please enter valid data.
  
  Mother's Phone Number REQUIRED Please fill out this field. Please enter valid data.
  
  Father's Phone Number REQUIRED Please fill out this field. Please enter valid data.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
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