Baptism Enrollment Form

SACRAMENT OF BAPTISM ENROLLMENT FORM
Are you a Registered Member of St. Michael?
Candidate's Full Name

First NameMiddle NameLast NameSuffix
Candidate's Birthdate

MonthDayYear
Date
Place of Birth
Father's Full Name

First NameLast Name
Mother's Full Name

First NameLast Name
(Include full birth name and maiden name)
Father's Religion
Mother's Religion
Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Godfather/Christian Witness Name

First NameLast Name
Member of St. Michael?
If not, what parish?
City, State of Parish
Godmother/Christian Witness Name

First NameLast Name
Member of St. Michael?
If not, what parish?
City, State of Parish
Should be Empty: