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, 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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