Baptism Registration Form

CAPTCHA
Child
Child's Name*
First Middle Last
Name of Child to be baptized
Date of Birth*
Month
Day
Year
Place of Birth*
Previously Baptized?*
- Yes
- No
Baptized Where & When*
Mother
Mother's Name*
First Middle Last Maiden (If applicable)
Marital Status*
Religion*
Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Email*
Father
Father's Name*
First Middle Last
Marital Status*
Religion*
Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Email*
Godparent(s)
Must be Catholic. Need a letter from their parish stating they are practicing and in good standing.
Godfather*
Practicing Catholic?*
- Yes
- No
Name & Location of Parish*
Godmother*
Practicing Catholic?*
- Yes
- No
Name & Location of Parish*
Christian Witness
Optional if only one godparent, and must be opposite gender
Name & Religious Denomination
Other Parent Information
Parish of Parent Registration
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Marital Validity
Last attendance of Baptism Preparation program
Request for particular priest/deacon?
- Yes
- No
Name
Requested Date & Time
11:30am Sunday, following the 10:30am Mass is the norm.

Child