Baptism Registration Form

Baptism Registration Form

Welcome! This form is for children under 7 years old. (If your child is 7 years old and older, please contact Sabina Carter at 920-921-0580 ext. 501 or scarter@hffdl.org.) Comuníquese con Carmen Valenzuela al 920-921-0580 ext. 203 o en carmenv@hffdl.org para programar el bautismo de su hijo en español o bilingüe. Gracias.
Would you prefer the Baptism to be:*

EnglishSpanish/bilingual
What is the child's full name?*
Is the child male or female?*
For legal and privacy reasons, please verify that you are a parent of the child that is requesting.*

I am the mother and I am requesting.I am the father and I am requesting.I am not the mother or father of the child.
What is the Father's full name?*
What is the Father's religious affiliation?
What is the Mother's full name?*
What is the Mother's religious affiliation?
What is your child's DATE of birth?*
What is your child's CITY AND STATE of birth?*
Please list here ONLY the GODPARENTS (first and last name) that are Baptized, Confirmed Catholic, Practicing Catholic over the age of 16 and, if married, have been married according to the laws of the Catholic Church (i.e. not married outside the Catholic Church without a dispensation, and not remarried without an annulment) (there is a place below to enter those that do not meet all these). Note that at least 1 of the godparents will need to meet all of these qualifications. If both godparents meet the requirements, please list them both here separated with a comma.*
By checking the boxes below, I verify that ALL of the godparents listed above meet these requirements. If you have a question on what the requirements mean, please contact Angie or Sabina at the Parish Office. Reminder that you need to have at least one godparent meet all of these requirements.

BaptizedConfirmed Catholic (generally happens in high school- this is not 1st Communion)Practicing CatholicOver the age of 16EITHER not married, OR, if married, he/she is married according to the laws of the Catholic Church (i.e. not married outside the Church without a dispensation, and not remarried without an annulment)
Please note any comments here:
Please list GODPARENTS/CHRISTIAN WITNESS (first and last name). They DO need to be Baptized in a Christian Faith (but have not been Confirmed Catholic and/or are not Practicing Catholic). By listing them below, I have verified and agree that they do indeed meet that requirement.
Please tell me the religious affiliation of the GODPARENTS/CHRISTIAN WITNESSES that are listed in the previous question.
Please verify that the GODPARENTS/CHRISTIAN WITNESSES in the previous question have been baptized in a Christian faith.*

YesNoBoth Godparent meet all requirements listed above.
Please note the Baptism Schedule that is on the website at hffdl.org/baptism. We do hold baptisms on specific weekends at specific church sites. This gives you the option of picking the date that you prefer or you can choose when Baptisms are offered at that site/time. Please select from the church sites below.*

Holy Family ChurchSt. Mary ChurchSacred Heart ChurchSt. PeterOur Risen SaviorPresentation
Please choose the date and time that you prefer for your child's baptism.*
If the Baptism is scheduled during Mass, we will reserve 2 pews for the Parents, Godparents and Grandparents of the child near the front of the church. If you need additional pews, please note here. If you have chosen to have the baptism AFTER the 4pm Mass at Holy Family on the 3rd weekend of the month, you are welcome to sit anywhere your family is comfortable during Mass and then you can meet the deacon near the altar after Mass has finished.
Baptism Preparation*

I verify that I have taken the Baptismal Preparation Class with a previous child.I am currently in the process of completing the Baptismal Preparation Class.I need to sign up for the Baptismal Preparation Class (https://www.hffdl.org/areas_of_ministry/sacraments/baptism/) and understand that the baptism cannot be held until this is completed.Other
Parents Phone Number*
Please enter a valid phone number.
Parents Email Address*
example@example.com
Parents Marital Status*

SingleMarried
Any other information you would like to share:
For internal use only:

Are parents current members? _____ If not, permission given from current church?__

Scheduled on calendar _______

Certificate printed _______

Certificate proofread _______

Email Sent to Parents _______

Entered into Database _______

Entered into Sacramental Registry ______
To schedule a Baptism in Spanish please contact Carmen at: carmenv@hffdl.org or 920-920-0580 ext. 203.

Para agendar un Bautizo en Español por favor contactar a Carmen en: carmenv@hffdl.org o al 920-960-0580 ext. 203.
Email
example@example.com
Should be Empty: