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Faith Formation 2023-2024 Class Registration

 

Please email the completed form and a copy of the Baptism Certificate* to:

secretary@saintpatrickmystic.org

Child’s Name: ______________________________________________________________________________

                               First                               Middle                                Last                  

 

______Male        _______Female

 

Date of Birth: ___________________________________


Place of Birth: ___________________________________


Date of Baptism: ________________________________


Church where child was Baptized: ________________________________________*

What grade is the child in_________________

Father’s Name ____________________________________________________________

            Religion: _______________________________________________________

Mother’s First and Maiden Name: _________________________________________

           Religion: ________________________________________________________

Church where parents were married: ______________________________________

 

Residence: ____________________________________________________________

 

Telephone Number: ___________________________   Email: ___________________________________

*A copy of the child’s Baptism Certificate is required if he/she was not Baptized at

Saint Patrick Church, Mystic

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