Baptism Registration at SEAS Parish

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417-887-6472

2200 W. Republic Rd., Springfield, MO 65807

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Baptism Registration

Baptism Registration Form

Welcoming New Members Into The Faith Community

Parish Registration Form

Are you a registered SEAS Parishioner?

Yes

No

Have you attended the Baptism Preparation Class?

Yes

No

Date Baptism Class was attended?

Child's Full Name

Male or Female

Male

Female

Date of Child's Birth

City & State of Child's Birth

Street Address

City

State

Zip

Father - First Name

Father - Last Name

Father - Primary Phone Number

Father - Email Address

Religion of Father

Additional Notes (If Applicable)

Mother - First Name

Mother - Last Name

Mother - Maiden Name

Mother - Primary Phone Number

Mother - Email Address

Religion of Mother

Additional Notes (If Applicable)

Do you have a valid Catholic marriage?

Yes

No

Godfather - First Name

Godfather - Last Name

Godfather - Confirmed, practicing Catholic?

Yes

No

Godmother - First Name

Godmother - Last Name

Godmother - Confirmed, practicing Catholic?

Yes

No

Will a Godparent be represented by a proxy?

Yes

No

Godparent Proxy - First Name

Godparent Proxy - Last Name

Proxy standing for

Godfather

Godmother

Additional Notes (If Applicable)

Thank you for submitting the Baptism Registration Form.

Please call the Parish Office at 417-887-6472 to Schedule Baptism.

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Please call the Parish Office at 417-887-6472 to Schedule Baptism.

Our Location

2200 W. Republic Rd.

Springfield, MO 65807

Contact Us

417-887-6472

parishinfo@seaschurch.org

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