Request Form for the Sacrament of Baptism

Request Form for the Sacrament of Baptism

This form is to used to prepare the baptismal certificate. Please fill out in its entirety.
Today's Date

MonthDayYear
Date
Full Name of Child

First NameMiddle NameLast Name
Date of birth

MonthDayYear
Date
Place of birth (City and State are required)
Was child previously baptized previously?
If you answered "Yes" to your child being previously baptized, please tell us where this took place.
Name of Mother:

First NameLast Name
Name of Father

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Mother's Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Father's Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Mother's Email
example@example.com
Father's Email
example@example.com
Mother's Religion
Father's Religion
Are the mother and father married?
Living together
Date of marriage

MonthDayYear
Date
Name and Location of church of marriage
If you were not married in the Church, do you plan to have your marriage convalidated?
Do you attend Mass at IHM?
If yes, are you registered with the parish?
If yes, how long have you been members at IHM?
If no, where are you parishioners at?
Why are you seeking Baptism at IHM?
How often does the Mother attend Mass?

Other
How often does the Father attend Mass?

Other
Do you receive the sacrament of Confession regularly? Mother:
Do you receive the sacrament of Confession regularly? Father:
Have you attended a Baptism class at IHM Parish?
If yes, when?
Number of children:
Please provide the names, dates of birth, and sacraments received of children attending IHM school:
Christianne Brussdelman, in her book Religion for Little Children, describes the home as "the most important classroom," meaning that the example of having a lived fath that your child witnesses in you is the most influential teaching anyone can provide. How do you personally practice your faith in the home?
What does it mean to you to be the primary educator of your child's faith? How do you intend to nurture your child's faith life by building up the Domestic Church in your home?
Godparents
Godparents are persons who themselves have been baptized, confirmed, and receive the Eucharist. They are active, participating members of the Catholic Church, willing and able to share their faith with the child. Godparents must be at least 16 years old. You may choose a practicing Christian of another faith to serve as a witness at the ceremony, but you must choose at least one Catholic Godparent. If you choose two Godparents/Witnesses, one must be male and one female.
Godfather/witness:

First NameMiddle NameLast Name
Religion of godfather
Godmother/witness:

First NameLast Name
Religion of godmother:
I give IHM permission to use pictures of the baptism in the bulletin and on social media.
If this is your first child baptized at IHM you will be required to attend a baptism class. Classes run from 10:30am-12:30pm and will be held in the School Library. Please select from the options and plan to attend.
Should be Empty:

Request Form for the Sacrament of Baptism

Godparents