25585 Berg Road, Southfield, MI 48034
Tel: (248) 356-0565 Fax: (248) 356-5235
churchoffice@mogccc.com

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Baptism Request Form

"*" indicates required fields

MM slash DD slash YYYY
Name*
Child Gender*
MM slash DD slash YYYY
Father's Religion*

Please type mother's full name with her maiden last name here.
Mother's Religion*

Family Address*
Godfather must be 14 years of age or older
MM slash DD slash YYYY
Godmother must be 14 years of age or older
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*
If you can upload your child's birth certificate in advance this would be helpful.
Max. file size: 256 MB.
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Designed by The Lord 2021