Preferred Baptism Date*January 17, 2021February 21, 2021March 21, 2021April 18, 2021May 16, 2021Is this your first child to receive the Sacrament of Baptism?*YesNoChild's Information:Given Names:*Surname:*Birthday:*Day12345678910111213141516171819202122232425262728293031Month123456789101112Year2022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Place of Birth:*Mother's Information:Given Names:*Everyday Name:*Maiden Surname:*Religion:*Father's Information:Given Names:*Everyday Name:*Surname:*Religion:*Address:* Street Address City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Phone:*Email:* Sponsors:Name:*Religion:*Name:Religion:Proxies (if any):CAPTCHA