PARÓQUIA DE ___________________________________________________________________

Inscrição para Batismo de Criança

a ser celebrado em ____/____/_______

Nome ______________________________________________________________________________
nascid__ no dia ____/____/_______ em ___________________________________________________
_______________________________________________________________________________________
filh___ de ___________________________________________________________________________
natural de ___________________________________________________________________________
e de _______________________________________________________________________________
natural de ___________________________________________________________________________
no estado de ________________________________________________________________________
residentes em _______________________________________________________________________
_____________________________________________________________________________________

Avô paterno _________________________________________________________________________

Avó paterna _________________________________________________________________________
Avô materno _________________________________________________________________________
Avó materna _________________________________________________________________________

Padrinho __________________________________________________________________________
de _____ anos, de estado ______________________________________________________________
residente em ________________________________________________________________________
____________________________________________________________________________________
profissão ___________________________________________________________________________
batizado em _____________________________________________________ aos ____/____/_______
fez a Primeira Comunhão em ___________________________________________________________
e Crisma em _________________________________________________________________________

Madrinha __________________________________________________________________________
de _____ anos, de estado ______________________________________________________________
residente em ________________________________________________________________________
____________________________________________________________________________________
profissão ___________________________________________________________________________
batizada em _____________________________________________________ aos ____/____/_______
fez a Primeira Comunhão em ___________________________________________________________
e Crisma em _________________________________________________________________________

Assinatura do pai: _______________________________________________________________

Assinatura da mãe ______________________________________________________________
Mod. 19