Our Lady of the Angels

6442 Pelham Road

Taylor, Michigan 48180

Attn: Michael Grube.

 (313)381-3000

Baptism Registration Form.

Name of child:_________________________________________________

                                                   First                                     Middle                                    Last

(As appear in the Birth Certificate)

Phone #: (_____)___________________

Address:______________________________________________________

                        Number                        Street                             City                                         State

Birth Date:____________________  City of Birth:____________________

Father’s full name:______________________________________________

Mother’s full name:______________________________/_______________

                                                                                                                          Maiden name

Father’s Religion:________________  Mother’s Religion:______________

Place of Marriage:______________________________________________

(If not married in catholic church, was marriage convalidated)    YES       NO 

God Parent (s)   _______________________ Religion__________________

                          _______________________ Religion__________________

                                       (Both must be Baptized)

(To be filled in by parish staff)

Parish Registration:    YES       No       Parish Number:____________________    

Date of Baptism:_____________________

Date of Baptism Class:_________________      Attended:   YES    NO