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*

MaleFemale
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.
Parent's Email*
example@example.com
Godparent Information
Godfather's Full Name*

First NameMiddle NameLast Name
Parishioner at Saints Francis & Clare of Assisi*

YESNO
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*

YESNO
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

YESNO
Prep Class Scheduled

YESNO
Prep Class Date
Letters of Good Standing

ParentsGodparents
Officiate Notified

YESNO
PDS
Sacramental Volume #
Page #
Entry #
Should be Empty:

Baptism Registration Form

Godparent Information

General Information

Office Use Only