St. Clare Parish

1244 Liberty Street

Braintree, MA  02184

(781) 848-7480

SACRAMENT OF BAPTISM - REGISTRATION FORM

Name of Child:

Date of Birth:   Place of Birth:

Home Address:

Town/State/Zip: Tel.:

Father's Name:

Father's Religion:

Mother's Name:

Maiden Name:   Mother's Religion:

Godfather's Name:

Godmother's Name:

Godfather's Religion:    Godmother's Religion:

Church of Marriage:

Town of Marriage:

Child Baptized in hospital?  Yes      No     If yes, where:

Additional Information:

Date of Instruction:    Time:

Date of Baptism:        Time:

Presider:

Registered Parishioner?:   Yes      No

Your EMail: