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Baptism Class Registration

- Sacraments
  - Baptism Class Registration

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- This is the registration form for the Baptism Class on February 6, 2023 at the St. Mary, Lanesville Parish Life Center in Rm. 105 with Joe Fey, Director of Faith Formation from 6:30 - 7:30 pm. All parents and godparents must attend this class in order for baptisms to be scheduled. If you have completed the Pre-Baptismal Program in the last three years, you are not required to attend the class again. In this case, please contact Joe Fey at 386-747-2889 or joefey@frontier.com to schedule a baptism. Additionally, godparents who live out of town may complete a class at a parish near them. Before filling out this form, please read the document at the link below:
  Notes about the Eligibility of a Godparent/Christian Witness
- I have read "Notes about the Eligibility of a Godparent/Christian Witness" REQUIRED Yes Please fill out this field.
- Father's Name (First, Middle, and Last) REQUIRED Please fill out this field. Please enter valid data.
- Father's Religion REQUIRED Please fill out this field. Please enter valid data.
- Mother's Name (First, Middle, and Last) REQUIRED Please fill out this field. Please enter valid data.
- Mother's Religion Please enter valid data.
- Mother's Maiden Name REQUIRED Please fill out this field. 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 Phone # REQUIRED Please fill out this field. Please enter valid data.
- Father's Email REQUIRED Please fill out this field. Please enter valid data.
- Mother's Phone # REQUIRED Please fill out this field. Please enter valid data.
- Mother's Email Please enter valid data.
- Name of Baptism Candidate (First, Middle, and Last) REQUIRED Please fill out this field. Please enter valid data.
- Place of Birth REQUIRED Please fill out this field. Please enter valid data.
- Birthdate REQUIRED Please fill out this field. Please enter valid data.
- Would you like the Baptism to be during Mass or at a separate time? REQUIRED During Mass At a separate time Please fill out this field.
- Will the Godparents be attending class? REQUIRED Yes No Please fill out this field.
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