Baptism Request

Baptism Request

Congratulations on the new member of your family. Help us to gather some information below to help plan for his/her welcome into our Bellarmine community. NOTE: Parent names must be listed as names at birth for the church record. If you have questions contact the sacramentalcoordinator@bellarminechapel.org
CHILD
Child Full Name*

First NameMiddle NameLast Name
Child preferred name
Child’s City and State of Birth*
Child's Birthdate*

MonthDayYear
Month-Day-Year
Child Gender*

MaleFemale
Siblings Name(s)/Age(s)
PARENT INFORMATION
Parent #1 Full Name (full name at birth)*

First NameMiddle Name (at birth)Last Name (at birth)
Parent #1 Preferred Name (nickname)
Is Parent #1 Catholic?*

YesNo
Parent#1 Mobile Phone Number
Please enter a valid phone number.
Parent #1 Email*
example@example.com
Parent #2 Full Name (full name at birth)*

First NameMiddle Name (at birth)Last Name (at birth)
Parent #2 Preferred Name (nickname)
Is Parent #2 Catholic?*

YesNo
Parent #2 Mobile Phone Number
Please enter a valid phone number.
Parent #2 Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Registered at Bellarmine Chapel or other Parish?*
Enter current Parish
GODPARENT INFORMATION

One godparent must be a confirmed and practicing Catholic. If not Catholic, the second can be a Christian witness.
Godparent Name

First NameLast NameCatholic?
Godparent Name

First NameLast NameCatholic?
BAPTISM DATES & PREPARATION SESSIONS

During 9:00 and 11:30 am Mass.
The dates below have pre-scheduled celebrants from our Jesuit community. If you plan to bring an outside priest for a different date, please indicate that below.
.
Preferred Baptism Date - (Needs to be confirmed)

Jan 11, 2026 9:00 a.m.Jan 11, 2026 11:30 a.m.Feb 8, 2026 11:30 a.m.April 12, 2026 9:00 a.m.April 12, 2026 11:30May 16, 2026 10:00 a.m. (out of Mass)June 7, 2026 9:00 a.m.June 7, 2026 11:30 a.m.Aug 23, 2026 9:00 a.m.Aug 23, 2026 11:30 a.m.Oct 11, 2026 9:00 a.m.Oct 11, 2026 11:30 a.m.Nov 22, 2026 9:00 a.m.Nov 22, 2026 11:30 a.m.
If the dates above do not work, we offer an out of Mass option to our community approximately one Saturday morning a month. Requests should be made using the comments box below. If there is not a Sat chosen for the month you are seeking, we will check priest availability and contact you to confirm. If we have one you are welcome to join.
Baptism Preparation Information

If this is your first child we expect that you to participate in our Baptism Preparation Session. If you have attended a previous session, we will send you the digital session files for review again and any new information that may have not been available for your last baptism.
Parent Preparation Class by Google Meet (All are welcome-required for 1st time parents)

Jan 7, 2026, 8:00 p.m.Apr 8, 2026, 8:00 p.m.
Would you be interested in information about opportunities in the parish for parents with young children?

Yes!Not right now.
Please feel free to add any details or questions below.
Date confirmation
Only fill in if you have already confirmed your date or it will be added later by office staff.
Priest confirmation
Only fill in if you have already confirmed with priest or it will be added later by office staff.
Should be Empty:

Baptism Request

CHILD

PARENT INFORMATION

GODPARENT INFORMATION

BAPTISM DATES & PREPARATION SESSIONS

Baptism Preparation Information