Baptism & Baptism Class Registration

Baptism & Baptism Class Registration
Child's Name:

First NameMiddle NameLast Name
Date of Birth:

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Birth Place:
Pick one:
Child lives with:

Other
Father's Name:

First NameMiddle NameLast Name
Father's Religion:
Mother's Name:

First NameMiddle NameMaiden Name
Mother's Religion:
Family Information
Address:

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number:
Please enter a valid phone number.Format: (000) 000-0000.
Email Address:
example@example.com
Requested Date of Baptism

Baptisms are preferred to be celebrated during our regular Mass times. We will reach out to you to discuss the time available for the date you requested.
Date Requested:

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Godparent Information

One sponsor is necessary. If there are two sponsors, at least one must be a practicing Catholic. Each Catholic sponsor should have the Baptismal Sponsor Approval Form completed.
Godfather's Name:

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

First NameLast Name
Godmother's Religion:
Class is offered the 2nd Tuesday of each month. We plan to attend class on:

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
First child to be baptized?
Should be Empty: