Baptism Registration Form

Assumption BVM Church

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Fete de Juillet
- 2024

Assumption of the Blessed Virgin Mary
Baptism Registration

* Indicates required field

Assumption of the Blessed Virgin Mary *

Parishioner Non-Parishioner

Child's Information

Child's Full Name *

Date of Birth *

MM/DD/YYYY

Place of Birth *

City, State

Proof of Birth Certificate *

Yes No

Number of Siblings *

Parent's Information

Phone Number *

Father's Full Name *

Father's Religion *

Mother's Full Maiden Name *

Mother's Religion *

Choose One *

Married in Church Civil Marriage Not Married

Mailing Address *

Line 1

Line 2

City

State

Zip Code

Country

Telephone *

Email *

Godparent's Information

Name of Godfather *

Godfather's Religion *

Godfather's Age *

Godfather's Sacraments Received *

Baptism First Eucharist Confirmation Marriage None

Name of Godmother *

Godmother's Relgion *

Godmother's Age *

Godmother's Sacraments Received *

Baptism First Eucharist Confirmation Marriage None

Submit

Assumption of the
Blessed Virgin Mary Church
6080 Mire Highway
Church Point, LA 70525

Phone:  (337) 873-6574
Email:  [email protected]
Facebook:  Assumption of The Blessed Virgin Mary

Monday - Thursday
8:00am-4:00pm
Friday
Parish Office Closed

Home
About Us
Sacraments
Bulletins
Schedule
Religious Ed.
Contact Us
Links
Fete de Juillet
- 2024

Assumption of the Blessed Virgin MaryBaptism Registration

Child's Information

Parent's Information

Godparent's Information

​​​Phone: (337) 873-6574​​​Email: [email protected]Facebook: Assumption of The Blessed Virgin Mary

Assumption of the Blessed Virgin Mary
Baptism Registration

Phone: (337) 873-6574
Email: [email protected]
Facebook: Assumption of The Blessed Virgin Mary