Baptismal Registration

If you are interested in having your child baptized, please fill out this form and we will contact you very shortly!
Fill in as much information as you currently know.


Your Name:
Which date are you interested in:
January 20/21 2007 (4:30 pm and 11:00 Liturgy) April 14/15 2007 (4:30 pm and 11:00 am Liturgy) June 2/3 2007 (4:30 pm and 11:00 am Liturgy)
Child's Date of Birth:
	(First)	(Middle)	(Last)
Name of Child:

Child's Place of Birth (City and State)
Father's Full Name:		Father's Religion:
Mother's Full Name:		Mother's Religion:
Phone (with Area Code):		Mother's Maiden Name:
	Street	City, State Zip
Your Address:
Pick as many Godparents OR witnesses as you know. This can be changed later.
Godparent OR Witness		Godparent or Witness Name:
	This Godparent or Witness Parish, City/State
Godparent OR Witness		Godparent or Witness Name:
	This Godparent or Witness Parish, City/State
Godparent OR Witness		Godparent or Witness Name:
	This Godparent or Witness Parish, City/State
Godparent OR Witness		Godparent or Witness Name:
	This Godparent or Witness Parish, City/State
Are you a registered parish member of Good Shepherd?		YES NO	(if no, you will receive a new member packet soon)
Please submit any special information and/or comments here:

Your Email:
		Any information submitted to Good Shepherd Parish is kept Confidential. Good Shepherd Catholic Church does not sell their mailing list to any outside source. We protect your privacy.

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For more information about the items on this page please contact: Gene Christensen christenseng@archmil.org This page last updated:11/29/2005