Registration for Baptism: WLSC

Registration For Baptism

St-Jérôme | Ste Anne | Good Shepherd | Sts. Simon & Jude
FAMILY INFORMATION
Full Name of Child to be Baptised*
First - Middle - Last
Place of Birth*
City, Province
Date of Birth*

DayMonthYear
My child is a...*

GirlBoy
Mother's Full Name*
First - Middle - Last
Mother's Maiden Name *
.
Mother's Religion*
Mother's Church of Baptism
If applicable
Father's Full Name*
First - Middle - Last
Father's Religion*
Father's Church of Baptism
If applicable
Married?*
Place of Marriage
If applicable
Home Address*
City and Province*
Postal Code*
Primary Phone Number*
(Area Code) ###-####
Primary Email*
Secondary Phone Number
(Area Code) ###-####
Secondary Email

GODPARENT INFORMATION

(Please read carefully before selecting Godparents)
1. At least one Catholic Godparent must be chosen for Baptism - male or female or one of each. CCC 873
2. This (these) person(s) must be able to:
  1. profess the Catholic Faith,
  2. be at least 16,
  3. have received the all the sacraments of initiation (Baptism, Communion and Confirmation) and
  4. be in good standing with the Catholic Church.
3. A non-Catholic Christian can accompany a Catholic godparent as a Christian witness (and can be added in the "godparent #2" box below).
I have read and understand the requirements for Godparents.*
Godparent #1 (full name)*
Religion of Godparent #1*
Church of Baptism*
This person has celebrated the sacrament of Confirmation in the Catholic church*

YesNo
Godparent #2 (full name)
Religion of Godparent #2
Church of Baptism
This person has celebrated the sacrament of Confirmation in the Catholic church*

YesNo

PARISH / CHURCH INFORMATION

Do you live within one of our Family of Parishes boundaries? (St-Jérôme, Ste Anne, Good Shepherd or Sts. Simon & Jude?) If not please note that you may be asked to provide a letter of permission from your local Church to have the baptism with us. In addition, baptismal prep may be required for you to complete at your local parish. Our Coordinator for Baptisms will be in touch if there is an additional requirement.
I would like the Baptism to take place at:*

Ste Anne's, TecumsehGood Shepherd, EmeryvilleSt-Jerome, Windsor-EastSts. Simon & Jude, Belle River

CHOOSE THE DATE OF YOUR BAPTISM

If you would like a French language Baptism at St-Jérôme's please select "Baptême à St-Jérôme" and our French Pastoral Minister will be in contact.
Date of Baptism

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Registration For Baptism