Baptism & Baptism Class Registration

Baptism & Baptism Class Registration
Child's Name:

First NameMiddle NameLast Name
Date of Birth:

MonthDayYear
Date
Birth Place:
MaleFemale
Both ParentsMotherFatherOther
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
Date
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
Date
YesNo
Should be Empty: