Baptismal Registration Form

Child's Name (as you wish it to appear on the Baptismal Certificate)*

First NameMiddle NameLast Name

Date of Birth*

Date

City and State of Birth*

Father's Name*

First NameLast Name

Father's Religion*

Mother's Maiden Name*

First NameLast Name

Mother's Religion*

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Primary Phone Number*

Please enter a valid phone number.

Primary Email*

example@example.com

Were parents married in the Catholic Church?*

YESNO

If not married in the Catholic Church, was their marriage blessed in the Catholic Church?*

YESNO

Are parents registered parishioners at St. Timothy Parish?*

YESNO

If no, with what Parish are you registered?*

If not registered at St. Timothy, why are you asking for Baptism at St. Timothy’s Church?*

If a parent of the baby to be baptized is not Catholic, the non-Catholic parent is asked to sign below, granting permission for the child to be baptized in the Catholic faith.

I hereby authorize the making of photographs, motion pictures, website, video tapes, recording, or other memorializing of said event and my child’s participation therein, and the publication and duplication or other use thereof. I hereby waive any right to compensation or any right that I otherwise might have to limit or to control making or use.

Have you selected Godparents?*

YESNO

Godparent Guidelines:

A child may have up to two godparents, a male and a female.

All Godparents must meet ALL of the following requirements:

- They must be at least 16 years of age.

- They must have already received the three Sacraments of Initiation: Baptism, Holy Communion and Confirmation.

- They must be a practicing Catholic who attends Mass every week and is in good standing.

- If they are married, they must have been married in the Catholic Church or have had their marriage blessed in the Catholic Church.

- They must have a Godparent form signed by their parish to show they are active and eligible to serve in this capacity.

- They must attend the pre-baptismal class in person. This class is good for two years. If they are unable to attend the pre-baptismal class offered at St. Timothy Catholic Church, they must present a letter or certificate from their local Catholic church indicating that they attended a baptism class there.

Christian Witness. If finding two Godparents is not possible, a child can have one Godparent and a Christian witness. A Christian witness is a non-Catholic who has been baptized in another Christian faith and is actively practicing. A person who was baptized Catholic and then left the Church for another Christian denomination cannot serve as a Christian witness.

If one or both Godparents cannot attend the baptism, a proxy can stand in for them, but both Godparents must still meet all of the requirements above.

Name of proposed Godparent A*

First NameLast Name

Primary Phone Number

Please enter a valid phone number.

Primary Email

example@example.com

Has Godparent A been Baptized in the Roman Catholic Church?*

YESNO

Has Godparent A received First Communion in the Roman Catholic Church?*

YESNO

Has Godparent A received Confirmation in the Roman Catholic Church?*

YESNO

Please select one for Godparent A*

SingleMarriedDivorcedWidowed

If married, was Godparent A married in the Catholic Church?*

YESNO

If not married in the Catholic Church, was Godparent A's marriage blessed in the Catholic Church?*

YESNO

Is Godparent A a registered parishioner at St. Timothy?*

YESNO

If no, with what Parish is Godparent A registered?

Do you have a second Godparent?*

YESNO

Name of proposed Godparent B*

First NameLast Name

Primary Phone Number

Please enter a valid phone number.

Primary Email

example@example.com

Has Godparent B been Baptized in the Roman Catholic Church?*

YESNO

Has Godparent B received First Communion in the Roman Catholic Church?*

YESNO

Has Godparent B received Confirmation in the Roman Catholic Church?*

YESNO

Please select one for Godparent B*

SingleMarriedDivorcedWidowed

If married, was Godparent B married in the Catholic Church?*

YESNO

If not married in the Catholic Church, was Godparent B's marriage blessed in the Catholic Church?*

YESNO

Is Godparent B a registered parishioner at St. Timothy?*

YESNO

If no, with what Parish is Godparent B registered?

Baptismal Registration Form

PLEASE NOTE: If you wish to baptize your child at St. Timothy’s Church, but you are not a member of the parish, please submit a letter from your current parish granting you permission to baptize your child at St. Timothy Church.