Congregation of Christ the King

111 Pelican Street
Lafayette, LA 70507

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Request for Baptism

- About

Information concerns the Person to be baptized
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- Full Name of Person to be Baptized REQUIRED Please fill out this field. Please enter valid data.
- Date of Birth REQUIRED Please fill out this field. Please enter valid data.
- *** Below is asking for the city and state of birth ***
- 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.
- Father's Full Name REQUIRED Please fill out this field. Please enter valid data.
- Father's Religion Please enter valid data.
- Mother's Full Name and Maiden Name REQUIRED Please fill out this field. Please enter valid data.
- Mother's Religion REQUIRED Please fill out this field. Please enter valid data.
- Full Address for Certificate of Baptism to be delivered to REQUIRED Please fill out this field.
- Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Requested Date of Baptism REQUIRED Please fill out this field. Please enter a date.
- Requested Minister of Baptism Please enter valid data.
- Parish in Which to be Baptized REQUIRED Please fill out this field.
- Full Name of Godfather REQUIRED
  Must be a practicing traditional Catholic
  Please fill out this field. Please enter valid data.
- Full Name of Godmother REQUIRED
  Must be a practicing traditional Catholic
  Please fill out this field. Please enter valid data.
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