St. Alphonsa Syro-Malabar Forane Catholic Church
Baptism Form
Recipient
Baptismal Name
*
Official Name
*
First Name
Middle Name
Last Name
Family Name (if any)
Gender
*
Male
Female
Date of Birth
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Place of Birth
*
Date of Baptism
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Place of Baptism
*
Was the child privately baptized before?
Parents
Father's Name
*
First Name
Last Name
Religion
*
Mother's Maiden Name
*
First Name
Last Name
Religion
*
Current Parish/Mission
*
Home Parish/Mission and Diocese (if different from above)
Were parents married in the Catholic Church?
*
Home Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Primary Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Primary email
*
example@example.com
Godparents
Godfather's Name
*
First Name
Last Name
Is he a Catholic?
*
Godfather's Parish
*
Godmother's Name
*
First Name
Last Name
Is she a Catholic?
*
Godmother's Parish
*
Priest
Name of the officiating Priest
*
Please verify
*
Submit
Should be Empty: