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Baptism Request Form

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- Baptism Request Form
  Parents of the child to be baptized,
  please complete this Baptism Request Form.
  Any questions, please contact the Parish Office at 412-751-0663. Thank you!
- Name of Mother Including Maiden Name Please enter valid data.
- Name of Father Please enter valid data.
- Parent Phone Number Maximum 20 characters Please enter a phone number.
- Email Please enter an email address.
- Parent Address 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.
- Full Name of Child to be Baptized (including middle name) Please enter valid data.
- Child's Date of Birth Please enter a date.
- Child's Place of Birth Please enter valid data.
- Parents please note a photocopy of the child's birth certificate must be submitted to the Parish Office prior to the baptism.
- Baptisms are held after weekend Masses. Please check possible Mass times for the baptism: 4:00pm St. Michael Church, Elizabeth 6:00pm St. Eugene Church, Liberty Borough 8:00am St. Eugene Church, Liberty Borough 9:00am St. Michael Church, Elizabeth 10:30am Queen of the Rosary Church, Glassport 12:00noon St. Michael Church, Elizabeth
- Parents attend a pre-baptism class for their first child being baptized. Register at https://joachimandannediopitt.org/pre-baptism-class
- Have you had a previous child baptized? Yes No
- If yes, where did the parent attend the pre-baptism class? Please enter valid data.
- Traditionally, one Godfather and one Godmother are chosen by the parents. At least one Godparent must be a practicing Catholic who is an active member of a Catholic parish. Parents, please ask the Catholic Godparent to obtain a Sponsor Form from the parish where the Godparent is a member. Parents will submit this form to us prior to the baptism. The other Godparent may be a practicing Christian of another denomination.
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SAINTS JOACHIM AND ANNE PARISH
ANNE PARISH

Catholic Churches in the Diocese of Pittsburgh

Baptism Request Form