Baptism Registry

BAPTISM REGISTRY
Child's Information
Child's Full Name*

First NameMiddle NameLast Name
Gender*
Date of Birth*

MonthDayYear
Date
Place of Birth*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Home Address*

Street Address

CityState / Province

Postal / Zip Code
Parent Information
Father's Name*

First NameMiddle NameLast Name
Email*
example@example.com
Phone Number*
Father’s Religion*
Mother's Name*

First NameMiddle NameLast Name
Mother's Maiden Name*
Maiden Name
Email*
example@example.com
Phone Number*
Mother’s Religion*
Date
Preferred Month For Baptism

Communal Baptisms take place the third Saturday (English) and Sunday (Spanish) of each month.
Select month
Registered parishioners:*

YesNo
Married in Catholic Church:*

YesNo
If one of the parents is not Catholic, would there be an interest in joining the catholic church:*

YesNo
Is the child adopted:*

YesNo
Baptized in an emergency:*

YesNo
God Parent Information
Godfather's Name*

First NameMiddle NameLast Name
Godfather's Email*
example@example.com
Godfather's Phone Number*
Is the Godfather 16 years of age or older?*

YesNo
Is the Godfather a Catholic who has been baptized and received the sacraments of Confirmation and First Eucharist?*

YesNo
If the Godfather is married, is he married in the Catholic Church?*

YesNoN/A
Godmother's Name*

First NameMiddle NameLast Name
Godmother's Email*
example@example.com
Godmother's Phone Number*
Is the Godmother 16 years of age or older?*

YesNo
Is the Godmother a Catholic who has been baptized and received the sacraments of Confirmation and First Eucharist?*

YesNo
If the Godmother is married, is he married in the Catholic Church?*

YesNoN/A
Will both godfather and godmother be present for the baptismal liturgy?*

YesNo
St. Pius V Catholic Church | 7691 Orangethorpe Ave Buena Park, CA 90621 | (714) 522-2193
Should be Empty:

BAPTISM REGISTRY

Child's Information

Parent Information

Preferred Month For Baptism

God Parent Information