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Baptismal Registration

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This field is for validation purposes and should be left unchanged.

Are you a member of St. Francis Xavier Parish?*

Yes

No

You may continue with this Baptismal Registration, however, you will need to register with the St. Francis Xavier Parish before the Baptism can take place. Please visit My Own Church on the sfxmw.com website or call the office to start this process.*

I understand

Full Name of Child*

First Middle Last

Male or Female*

Male

Female

Date of Birth*

MM slash DD slash YYYY

Place of Birth (City, State)*

Is Child Adopted?*

Yes

No

Date Adoption Finalized*

MM slash DD slash YYYY

Father's Full Name*

First Middle Last

Father's Religion:*

Are you interested in becoming a Catholic?*

Mother's Full Name*

First Middle Last

Mother's Maiden Name*

Mother's Religion:*

Are you interested in becoming a Catholic?*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Godparents (sponsors) must be practicing Catholics as least sixteen (16) years of age. A non-Catholic who is a baptized Christian may be chosen as a “Christian witness”. He/She is not regarded by Church law as an official Godparent or sponsor.*

I understand

Godmother's Name

First Last

Godmother's Religion

Godfather's Name

First Last

Godfather's Religion

Christian Witness

First Last

Witness' Religion

Were the parents of the child married by a priest in the Catholic Church?*

Yes

No

Have you discussed with a Priest the possibility of having your marriage validated in the Church?*

Yes

No

If it is possible to have your marriage validated in the Church, you may be asked to do so before you child is Baptized.

I understand

St. Francis Xavier is a Roman Catholic community in Mount Washington, Kentucky, established in 1846 to further God’s kingdom on earth. We are a welcoming community of faith serving the spiritual, emotional, intellectual and physical needs of our parishioners. We are dedicated to the celebration of the sacraments and the teachings of the church. Our goal is to meet these needs through various parish organizations and through community ministries.

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Contact

155 Stringer Ln, Mt Washington, KY 40047 Phone: 502-538-4933 Fax: (502) 955-0449

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