Pre-Baptism Form

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Pre-Baptism Form

Registration for Pre-Baptism Progam

Pre-Baptism Program Registration

Mother's Name:

Father's Name

Child's Name

Email:

Best Contact Phone:

Does phone accepts texts?

Yes

No

Are you a registered member of Immaculate Conception Church

Yes

No

What is the child's due date or birth date?

Message/Questions:

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We will get back to you as soon as possible.

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Clarion, PA 16214

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