Baptism Registration Form

Holy Family Pastoral Unit

151 Stratford Road
Stratford, PE C1B 1H1
Telephone: (902) 569-4769
Fax: (902) 569-2118

Parish *
Preferred Baptism Date *
The dates listed are the 3rd Sundays of each month for the Sacrament of Baptism at Assumption. For St. Joachim’s & St. Patrick’s, please choose “To Be Discussed” and you will be contacted.
Is this your first child to receive the Sacrament of Baptism?
   Given Names *
   Surname *
   Birthday *
   Place of Birth *
   Given Names *
   Everyday Name *
   Maiden Surname *
   Religion *
   Given Names *
   Everyday Name *
   Surname *
   Religion *
Address *
Phone *
Email *
   Name *
   Religion *
Proxies (if any)

* indicates a required field

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