Baptism Request Form"*" indicates required fieldsDate requesting for Baptism* MM slash DD slash YYYY Name* First Middle Last Child Gender* Male FemaleDate of Birth* MM slash DD slash YYYY Child's Place of Birth*Father's Full Name*Father's Religion* Chaldean Catholic Latin Catholic Orthodox Other Catholic OtherMother's First Name and Maiden Last Name*Please type mother's full name with her maiden last name here.Mother's Religion* Chaldean Catholic Latin Catholic Orthodox Other Catholic OtherFamily Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Primary Phone of family requesting Baptism*Primary mail address of family requesting Baptism* Godfather NameGodfather must be 14 years of age or olderDate of Birth - Godfather MM slash DD slash YYYY Godmother NameGodmother must be 14 years of age or olderDate Of Birth - Godmother MM slash DD slash YYYY If either parent is a non-Chaldean Catholic - Is it your desire to have your child formally be a part of the Chaldean Catholic Church* Yes NoIf No please explain below*Birth Certificate UploadIf you can upload your child's birth certificate in advance this would be helpful.Max. file size: 256 MB.