(318) 487-9894/Fax: (318) 445-0436

9323 Highway 165 South ~ Woodworth, LA

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Baptism Registration Form

Please complete the online form below OR download/print the Baptism Data Form

Data for Baptism Register

Name of Child
Gender
Male
Female
Date and Place of Birth
Address
Telephone
+1
Search
    Father's Name (First and Last)
    Father's Religion
    Mother's Name (First and Maiden)
    Mother's Religion
    Were the Parents Married?
    Yes
    No
    If not, by whom?
    Married by a Priest?
    Yes
    No
    Godfather's Name
    Godfather's Religion
    Godmother's Name
    Godmother's Religion
    Godparent(s) represented by proxy?
    Yes
    No
    Was the child baptized privately?
    Yes
    No
    Was the child adopted?
    Yes
    No
    Remarks
    Name of Priest


    MARY MOTHER OF JESUS CATHOLIC CHURCH

    9323 Highway 165 South - P. O. Box 408,
    Woodworth, Louisiana 71485
    Phone - (318) 487-9894 / Fax - (318) 445-0436

     

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