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

Both godparents must be at least 16 years old. At least one godparent must be a confirmed Catholic.
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
Name of Proxy*
Should be Empty:

Child Information

Parent Information

Godparent Information