BAPTISM REGISTRATION FORM
767 Prospect Street Maplewood, NJ 07040
www.sjcmaplewoodnj.org
973-761-5933
Name of Child
Date of Birth
/
Month
/
Day
Year
Date
City & State of Birth
Name of Mother (Parent)
Maiden Name
Cell
Email
example@example.com
Cell
Email
example@example.com
Family Address
Name of God Parent
Religion
Are you a Fully Initiated Catholic? (You've received all your sacraments)
Name of God Parent
Religion
Are you a Fully Initiated Catholic? (You've received all your sacraments)
Day & Date of Baptism
/
Month
/
Day
Year
Date
Presider & Special Notes (Office Use Only)
Preview PDF
Submit
Should be Empty: