St. Leonards Parish Baptismal Preparation Information

St. Leonard Parish Baptism Registration Form
Today's Date*

MonthDayYear
Requisitioner's Full Name*

First NameMiddle NameLast Name
E-mail*
Home Phone Number*

Area CodePhone Number
Alternate Phone Number

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Child's Family Name*
Child's Given Name*
Child's Middle Name(s)
Gender*
Child's Date of Birth*

MonthDayYear
Child's Place of Birth*
Father's First Name and Last Name*

First NameMiddle NameLast Name
Father's Religion*
Mother's First Name and MAIDEN NAME*

First NameMiddle NameMaiden Name
Mother's Religion*
Are you married according to the rite of the Roman Catholic Church? (marriage officiated by a priest or deacon in a Catholic Church)*
If yes, where were you married?
YesNo
YesNo
YesNo
Godparent Information
Godfather's Full Name*

First NameMiddle NameLast Name
Godfather's Religion*
Godmother's Full Name*

First NameMiddle NameLast Name
Godmother's Religion*
Comments
For Office Use Only
Date and Time of Baptism

MonthDayYearHourMinutesAM/PM Option
Baptismal Preparation

MonthDayYearHourMinutesAM/PM Option
Entered into Register

MonthDayYear
Should be Empty:

St. Leonard Parish Baptism Registration Form