Faith Formation 2023-2024 Class Registration
Please email the completed form and a copy of the Baptism Certificate* to:
secretary@saintpatrickmystic.org
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Child’s Name: ______________________________________________________________________________
First Middle Last
______Male _______Female
Date of Birth: ___________________________________
Place of Birth: ___________________________________
Date of Baptism: ________________________________
Church where child was Baptized: ________________________________________*
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What grade is the child in_________________
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Father’s Name ____________________________________________________________
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Religion: _______________________________________________________
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Mother’s First and Maiden Name: _________________________________________
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Religion: ________________________________________________________
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Church where parents were married: ______________________________________
Residence: ____________________________________________________________
Telephone Number: ___________________________ Email: ___________________________________
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*A copy of the child’s Baptism Certificate is required if he/she was not Baptized at
Saint Patrick Church, Mystic