Immaculate Conception Church Baptism Registration Form

Immaculate Conception Church Baptism Registration Form

86-45 Edgerton Blvd. Jamaica, NY 11432
Name of Child (First)
First Name
Name of Child (Last)
Last name
Date of Birth:

MonthDayYear
Date
Birth Place:
Mother's Name:

First NameMaiden Name
Mother's Religion:
Father's Name:

First NameLast Name
Father's Religion:
Are parents married? (Please add date:______________

YesNoChurch wedding?Civil ceremony
Family Contact Information
Phone Number:
Please enter a valid phone number.
Email Address:
example@example.com
Mailing Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Godparent Information

At least one Godparent MUST HAVE all three sacraments in order to be a God-parent. (Baptism-First Communion-Confirmation)
Godfather's Name:

First NameLast Name
Godfather's Religion:
Godmother's Name:

First NameLast Name
Godmother's Religion:
Has the God FATHER received all of his sacraments of initiation? (Baptism-First Communion-Confirmation)?
Has the God MOTHER received all of her sacraments of initiation? (Baptism-First Communion-Confirmation)?
Please have the Godparents fill out the "Baptism Sponsor Form"

https://form.jotform.com/250447770343154
Is either Godparent represented by proxy?

YesNo
Was the child baptized before?

YesNo
Was the child adopted?

YesNo
Baptism Formation class for new parents and sponsors: Third Sunday of the Month (ordinarily)

Only for those who never attended a class previously. Class are held on the third Sunday of the Month: 12:45 in Spanish & 2:15 PM in English
Please choose the date for the formation sesssion.*

September 21October 19November 16December 21January 18February 15March 15April 19May 17June 21July 19NO sessions in August
Language of Session

EnglishSpanish
Baptisms are celebrated on Saturday's at: 12 Noon & 2:15 PM and on Sunday's at 2:30 PM. Although we cannot guarantee the exact date you choose, please fill out the information below and we will accommodate you as best we can. Baptisms are celebrated in the upper church, unless you indicate the lower church. In the Summer there is air conditioning in the lower church. The date of the Baptism is not confirmed until all the paper work and the formation class are completed.
Upload File (Please provide a scanned copy of your child's birth certificate)
File Upload

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If you have questions please call or email the parish office. Monday-Friday: 9:00-4:30 PM 718-739-0880 iccjamaica@aol.com
Upload File
Sponsor Form

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DateTime
Should be Empty:

Immaculate Conception Church Baptism Registration Form

Family Contact Information

Godparent Information

Baptism Formation class for new parents and sponsors: Third Sunday of the Month (ordinarily)