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Precious Blood Parish is a Roman Catholic community of faith in Milford, Connecticut rooted in the Word of God and the sacraments, especially the Eucharist. We are missionary disciples who seek to bring the presence and the message of Jesus Christ to others through prayer, faith formation and assisting the needy through ministries grounded in the works of mercy.

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70 Gulf St, Milford, CT 06460

dhogan@pbpmilford.org

(203) 878-3571

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Baptism Registration

Parish(Required)

St. Agnes

St. Mary

Child’s Name(Required)

First Last

Date of Birth(Required)

MM slash DD slash YYYY

Place of Birth(Required)

Mailing Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Father's Name(Required)

First Last

Mother's Name(Required)

First Last

Mother's Maiden Name(Required)

Parents' Email(Required)

Phone(Required)

Religion of Father(Required)

Religion of Mother(Required)

Expected Date of Baptism(Required)

MM slash DD slash YYYY

Note

One godparent must be Roman Catholic and Confirmed. The other godparent may be a baptized Christian, and serve as a Christian Witness. If the second godparent is Catholic, they must also be Confirmed. You may have two godparents, but one is also permissible. It is customary to provide a sponsor certificate for the Roman Catholic godparents; this can be obtained from their local parish.

Godfather’s Name(Required)

First Last

Religion of Godfather(Required)

Godmother’s Name(Required)

First Last

Religion of Godmother(Required)

Add Your Email

Name(Required)

Email(Required)

Mailing Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Envelope Number

Military Member Addition

Your Name(Required)

First Last

Your Email(Required)

Military Member's Name(Required)

First Last

Military Member's Title(Required)

Register as a Parishioner

Envelopes(Required)

Yes

Envelope #

Family Name(Required)

You Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone(Required)

Email(Required)

Date of Birth(Required)

MM slash DD slash YYYY

Religion

Maiden Name(Required)

Marital Status(Required)

Single

Married

Separated

Divorced

Widowed

Do you have children?(Required)

Yes

How many children do you like to register?(Required)

Check all that apply to you

Baptism

Communion

Confirmation

Mass Attendance

Always

Seldom

Occasional

Family Members

List Only those living with you (include last name only if different)

Spouse's Name(Required)

First Last

Spouse's Date of Birth(Required)

MM slash DD slash YYYY

Spouse's Religion

Check all that apply for your spouse

Baptism

First Communion

Confirmation

Mass Attendance

Always

Seldom

Occasional

Mass Attendance

Always

Seldom

Occasional

Child 1

Child's Name(Required)

First Last

Child's Date of Birth(Required)

MM slash DD slash YYYY

Child's Religion

Check all that apply for your child

Baptism

First Communion

Confirmation

Mass Attendance

Always

Seldom

Occasional

Child 2

Child's Name(Required)

First Last

Child's Date of Birth(Required)

MM slash DD slash YYYY

Child's Religion

Check all that apply for your child

Baptism

First Communion

Confirmation

Mass Attendance

Always

Seldom

Occasional

Child 3

Child's Name(Required)

First Last

Child's Date of Birth(Required)

MM slash DD slash YYYY

Child's Religion

Check all that apply for your child

Baptism

First Communion

Confirmation

Mass Attendance

Always

Seldom

Occasional

Child 4

Child's Name(Required)

First Last

Child's Date of Birth(Required)

MM slash DD slash YYYY

Child's Religion

Check all that apply for your child

Baptism

First Communion

Confirmation

Mass Attendance

Always

Seldom

Occasional

Child 5

Child's Name(Required)

First Last

Child's Date of Birth(Required)

MM slash DD slash YYYY

Child's Religion

Check all that apply for your child

Baptism

First Communion

Confirmation

Mass Attendance

Always

Seldom

Occasional