Our Lady of Victory Parish Floral Park, NY

(516) 354-0482

2 Floral Parkway
Floral Park NY 11001

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(516) 354-0482

2 Floral Parkway
Floral Park NY 11001

Baptism Registration Form

"*" indicates required fields

Name of Child*

First Middle Last

*

Male

Female

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Phone*

Email*

Child's Date of Birth*

MM slash DD slash YYYY

Place of Birth*

Is this your first child?*

Yes

No

Mother's Name*

First Middle Maiden Name

Mother's Religion*

Father's Name*

First Middle Last

Father's Religion*

Church of Marriage

Godfather's Name*

First Last

Godfather's Religion*

Godmother's Name*

First Last

Godmother's Religion*

Will either Godparent be represented by proxy?*

Yes

No

What is the proxy's name?*

First Last

Was the child privately baptized?*

Yes

No

Was the child adopted?*

Yes

No

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Comments

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Upcoming Parish Events

Oct 23

2:00 pm - 3:00 pm

OLV Bible Study Group

Oct 24

6:00 pm - 9:00 pm

OLVS Movie Night

Oct 25

8:00 am - 4:00 pm

Rosary Altar Society Harvest Fair

Oct 25

9:00 am - 12:00 pm

OLVS Drama Club

Oct 27

1:00 pm - 3:00 pm

OLV Seniors Club

Our Lady of Victory Parish Floral Park, NY

2 Floral Parkway, Floral Park NY 11001
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(516) 354-0482

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