BAPTISMAL REGISTRATION FORM

Baptismal Registration

St. Anthony of Padua Catholic Church
Please note that by filling this form you are requesting a Baptismal Celebration in English. You are consenting for your child to be baptized Catholic and that you have the intention and hope that your child will be brought up in the Catholic Faith.

You must have copies of both your Child's Birth Certificate and the Certificate of Pre-baptismal for parents and sponsors in other to complete this form.

Thank you
Child's Full Name*

First NameMiddle Name Last Name
Child's Gender*

MaleFemale
Child’s Birth Date *

MonthDayYear
Child's Place of Birth *
State*
Please upload a copy (pdf, jpg, image) of your child’s birth certificate. Required in the field below.
BIRTH CERTIFICATE REQUIRED.*

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Father's Full Name as listed in the Birth Certificate*

First Name Middle Name Last Name
Father's Cell Ph Number*
Father's E-mail
Is the Father Registered at St. Anthony of Padua?

YESNO
Is the Father Catholic?

YESNO
Father's Religion?
Sacraments Received by the Father?*

BaptismFirst CommunionConfirmation
Mother's Full Name as listed in the Birth Certificate*

First NameMiddle NameMaiden Name
Mother's Cell Ph Number*
Mother's E-mail
Is the Mother Registered at St. Anthony of Padua?

YESNO
Is the Mother Catholic?

YESNO
Mother's Religion?
Sacraments Received by the Mother:*

BaptismFirst CommunionConfirmation
Couple's Marital Status:
Address*

Street Address

Street Address Line 2

CityState

Zip Code l
Baptismal Class for Parents
Where did you take the Baptismal Class?*

At St. Anthony of PaduaAt Another Parish
Date when you took the class?

MonthDayYear
Date
Please UPLOAD (pdf, jpg, image) copy of Baptismal Course Certificates for the Parents here.

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Godparents / Sponsors Information

According to Canon Law: cc 872-874, you are required to have at least one active and confirmed Roman Catholic Godparent who agrees with the teachings of the Church. One male sponsor or one female sponsor or one of each.
Please select Godparent / Sponsor #1*

GodmotherGodfather
I testify that I have read the Guidelines for Godparents, and Godparent #1 is Catholic and fulfills the requirements to be a Godparent.*

YES
Godparent #1 Full Name #1*

First NameMiddle NameMaiden / Last Name
Cell Ph Number*
E-mail
Are you having a 2nd Godparent or a Christian Witness?*

GodmotherGodfatherChristian WitnessNO
PLEASE NOTE A CHRISTIAN WITNESS is a baptized person who belongs to another Christian community who can be chosen only as a witness of the baptism along with a Catholic Godparent/Sponsor, which will accompany the ceremony and must be of the opposite sex of the Godparent/Sponsor. A non-baptized person cannot be a witness
I testify that Godparent #2 is Catholic and fulfills the requirements to be a Godparent.*

YES
Full Name of Godparent or Christian Witness #2 *

First NameMiddle NameMaiden / Last Name
Cell Phone Number*
E-mail
Where did Godparent completed the Baptismal Preparation Class?*

At St. Anthony of PaduaAt Another Parish
Please UPLOAD (pdf, jpg, image) copy of Baptismal Course Certificates for the godparents here.*

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Full Name of Christian Witness*

First NameMiddle NameMaiden Name
Cell Phone Number*
E-mail*
I testify that this Christian Witness is a Baptized Member of another Christian Tradition and fulfils with the requirements to be a Christian Witness.*

YES
Religion of Christian Witness?*
Please note that your baptismal registration cannot be completed without a copy of the Certificate of Pre-baptismal for both parents and sponsors.

If you have not taken the Pre-baptismal class please call Teri at 559-439-0124 or email: tloera@stanthonyfresno.org to get information of class schedule. Thank you!
Consent & Agreement

By checking the box below, I the Mother and/or the Father of this Baby request and consent my CHILD be baptized in the Catholic Faith at St. Anthony of Padua Catholic Church in Fresno. Ca. I declare that I have read and understood the requirements and accept Catholic Baptism and also ensure that my CHILD will be brought up in the Catholic Faith. I confirm that all the information on this form is correct.
Consent and Agreement*

I AGREE
Name Signing this Consent:

First NameLast Name
Signature of Mother or Father Requesting Baptism. *

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After submitting this form you will be directed to our SECURE ONLINE PAYSITE where you can make the $50 REGISTRATION FEE. Thank you!

Your registration fee includes the Baptismal Class that you need to register for separately.

You will receive a copy of your submittal in the email provided on this form. Please follow up with Teri Loera at (559) 439-0124 x102 to confirm that we have received your submittal and to select a date for your Child's Baptism. Thank you!
Date of Submittal

MonthDayYear
Should be Empty:

Baptismal Registration

Baptismal Class for Parents

Godparents / Sponsors Information

Consent & Agreement