Baptism Registration Form

Baptism Registration Form

Saints Francis & Clare of Assisi Catholic Church
Registration form must be completed and submitted to the Parish Office TWO WEEKS prior to scheduled baptism.
Full Name of Person to be Baptized

First NameMiddle NameLast Name
Gender
Date of Birth

MonthDayYear
Date
Place of Birth City
State
Father's Full Name

First NameMiddle NameLast Name
Mother's Full Name

First NameMiddle NameLast Name
Mother's Maiden Name
Father's Religion
Mother's Religion
Parent's Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent's Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Parent's Email
example@example.com
Godparent Information
Godfather's Full Name

First NameMiddle NameLast Name
Parishioner at Saints Francis & Clare of Assisi
Godfather's Religion
*Proxy for Godfather

First NameMiddle NameLast Name
Godmother's Full Name

First NameMiddle NameLast Name
Parishioner at Saints Francis & Clare of Assisi
Godmother's Religion
*Proxy for Godmother

First NameMiddle NameLast Name
General Information
**Date of Baptism

MonthDayYear
Date
**Time

Hour Minutes

AM/PM Option
**Officiate
**Location of Baptismal Preparation Class
**Date of Baptismal Preparation Class

MonthDayYear
Date
Additional Information
*If Applicable **If Known
Please verify that you are human
Saints Francis & Clare of Assisi Catholic Church
5901 Olive Branch Road, Greenwood, IN 46143
317.859.4673 ss-fc.org
Office Use Only
Parishioner
Prep Class Scheduled
Prep Class Date
Letters of Good Standing
Officiate Notified
PDS
Sacramental Volume #
Page #
Entry #
Should be Empty:

Baptism Registration Form

Godparent Information

General Information

Office Use Only