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Baptism Application

- Resources

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- Today's Date REQUIRED Please fill out this field. Please enter a date.
- SHM & SR Pastorate - 410-633-2828 / [email protected]
  Sacred Heart of Mary Saint Rita
  6736 Youngstown Ave 3 Dunmanway
  Baltimore, MD 21222 Dundalk, MD 21222
- Date of Baptism REQUIRED Please fill out this field. Please enter a date.
- Priest/Deacon REQUIRED Please fill out this field.
- Which Parish SHM SR
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Place of Birth - please provide city, state/country REQUIRED Please fill out this field. Please enter valid data.
- Father's Name - please provide first, middle and last name REQUIRED Please fill out this field. Please enter valid data.
- Mother's Name - please provide first, middle and last name REQUIRED Please fill out this field. Please enter valid data.
- Address REQUIRED Please fill out this field. Please enter valid data.
- 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.
- Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Email REQUIRED Please fill out this field. Please enter an email address.
- God Parents Information
- Godfathers Name
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Godmothers Name
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
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