Child Baptism Application Form
Please complete and submit this form online.
Baptism Candidates Full Name
*
First Name
Middle Name
Last Name
Date of Birth
*
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
2
3
4
5
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13
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30
31
Day
Please select a year
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
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2004
2003
2002
2001
2000
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1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Year
Gender
*
Male
Female
Place of Birth (City and State)
*
Proposed date for Baptism
*
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
Please select a year
2026
2025
2024
2023
Year
Father's Full Name
*
First Name
Middle Name
Last Name
Father's Faith
Religion
Denomination - if not Roman Catholic
Mother's Full Name
*
First Name
Middle Name
Last Name
Mother's Maiden Name
*
First Name
Last Name
Mother's Faith
Religion
Denomination - if not Roman Catholic
God Father's Name
*
First Name
Last Name
God Father's Faith
Religion
Denomination - if not Roman Catholic
Name & City of God Father's parish
Name & City
God Mother's Name
*
First Name
Last Name
God Mother's Faith
Religion
Denomination - if not Roman Catholic
Name & City of God Mother's parish
Name & City
E-mail
*
Family Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Telephone #
*
-
Area Code
Phone Number
Have you attended a Baptism Class in the last 2 years?
*
Yes
No
Is this your first child being baptized?
*
Yes
No
Are you Registered in the parish?
*
Yes
No
We, as parents accept the responsibility of bringing up our child in the practice of Catholic Faith. As a sign of this responsibility we shall attend the pre-baptism classes on the day set aside for it.
*
Father
Mother
Any document with regards to Baptism to upload. The Birth Certificate of the Child is required
Browse Files
Please upload the Birth Certificate of the Child or bring it to the Baptism Course.
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