Baptismal Information Form

Child Information
Child's Full Name*

First NameMiddle NameLast Name
Child's Sex*

MaleFemale
Child's Date of Birth*

MonthDayYear
Date
Place of Birth*
Please include country if born outside of the United States.
Is the Child Adopted?*

YesNo
Is the Adoption Finalized?*

YesNo
Adoptions must be finalized before a baptism can take place. Please contact the parish office at 907-345-4466 if you have any questions.
Have you completed the baptism class?*

YesNo
Parent Information
Father's Full Name*

First NameMiddle NameLast Name
Religion of Father*
Mother's Full Name*

First NameMiddle NameLast Name
Mother's Maiden Name*
Religion of Mother*
Are the Parents Married*

YesNo
Did parents marry in the Catholic church?*

YesNo
Would you like someone to contact you about getting your marriage convalidated?*

YesNo
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Are you registered parishioners of St. Elizabeth Ann Seton Church? *

YesNo
If you are not registered at St. Elizabeth Ann Seton Church, please fill out a registration form at www.akseas.net, or provide a letter of permission for baptism outside of your parish from the pastor at your church of registration.
Godparent Information

A child must have at least one Catholic godparent. Godparents or Sponsors are to be at least 16 years of age, and have the proper aptitude and intention to assume this role. Godparents or Sponsors must have received the Sacraments of Initiation (Baptism, Eucharist and Confirmation), and if married, are in a valid Catholic marriage. Non-Catholics are not permitted to be godparents of Catholics but may stand as Christian Witnesses, so long as there is a Catholic godparent. A Christian witness is a baptized Christian from another church or ecclesial communion.
Godfather's Full Name*

First NameMiddle NameLast Name
Is the Godfather Catholic?*

YesNo
Is the Godfather at least 16 and Confirmed?*

YesNo
Is the Godfather Christian?*

YesNo
Godmother's Full Name*

First NameMiddle NameLast Name
Is the Godmother Catholic?*

YesNo
Is the Godmother at least 16 and Confirmed?*

YesNo
Is the Godmother Christian?*

YesNo
Is either godparent represented by a proxy?*

YesNo
Who is the proxy representing?*

GodfatherGodmotherBoth
Full Name of Proxy*

First NameMiddle NameLast Name
Scheduling Information
We will do our best to accommodate requested date and time, however scheduling is dependent on priest’s schedule and facility availability.
Is the Baptism going to be during Mass?*

YesNo
Requested Date of Baptism

MonthDayYear
Requested Time of Baptism

Minutes

AM/PM Option
Additional Information Regarding Scheduling
Name of Proxy*
Should be Empty:

Child Information

Parent Information

Godparent Information

Scheduling Information