Baptism Registration Form

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*

Place of Birth*

Is this your first child?*

Yes
No

Mother's Name*

First Maiden Name

Mother's Religion*

Father's Name*

First 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

This field is for validation purposes and should be left unchanged.

Our Lady of Victory Parish Floral Park, NY

Upcoming Parish Events

Faith Formation 7th Grade Commitment Mass

OLVS Gala

Rosary Altar Society Setup for Harvest Fair

Rosary Altar Society Harvest Fair

Faith Formation Grade 1 Students – Monday, October 21

Our Lady of Victory Parish Floral Park, NY