St. Luke's Baptism Form | Child Registration
We are eager to assist you in preparing for your child's baptism at St. Luke! Please complete the form below to register your child for his/her baptism. If you have any questions, please reach out to Kristen Zacek at k.zacek@lukespot.com
Name of Child
*
First Name
Middle Name
Last Name
Is this your first child?
*
Please Select
Yes
No
Have any of your previous children been baptized at St. Luke University Parish?
*
Please Select
Yes
No
Child Birth Date
*
-
Month
-
Day
Year
Date
Child Gender
*
Please Select
Female
Male
Child Place of Birth
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Main Contact Information
Name
*
First Name
Last Name
Email
*
Phone Number
*
Mailing Address
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Parent Details
Mother's Name (Maiden)
*
First Name
Middle Name
MAIDEN Name
Mother's Religion
*
Catholic
Other
Father's Name
*
First Name
Middle Name
Last Name
Father's Religion
*
Catholic
Other
Were parents married in the Catholic church?
*
Yes
No
Was the child adopted?
*
Yes
No
Was the child already baptized privately?
*
Yes
No
Are you a parishioner at St. Luke University Parish?
*
Registered
Attending
No
Are you a registered parishioner at another parish?
*
No
Yes
Godparents
Godparent #1 Name
*
First Name
Last Name
Godparent #1 Religion
*
Catholic
Other
Godparent #2 Name
*
First Name
Last Name
Godparent #2 Religion
*
Catholic
Other
If Godparents by Proxy (optional)
Submit
Should be Empty: