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Baptism Application Form
Child's Name
*
First Name
Middle Name
Last Name
Suffix
Child's Date of Birth
*
-
Month
-
Day
Year
Date Picker Icon
Child's Sex
*
Male
Female
Child's Place of Birth
*
Town, State, (Town, Country if not from USA)
Was this child adopted?
*
Yes
No
Are you the legal guardian of this child?
*
Yes
No
Is this the first child you are having baptized in the Roman Catholic Church?
*
Yes
No
About the parents
Father
*
First Name
Middle Name
Last Name
Suffix
Father's Name
First Name
Last Name (and suffix if applicable)
Father's Religion
*
Please Select
Catholic (Latin/Roman Rite)
Protestant (Christian)
Other religion
No religion
Mother
*
First Name
Middle Name
Last Name
Mother's Name
First Name
Last Name
Mother's Maiden Surname
*
Mother's Religion
*
Please Select
Catholic (Latin/Roman Rite)
Protestant (Christian)
Other religion
No religion
Best Phone Number to reach you
*
Please enter a valid phone number.
Best Email to reach you
*
example@example.com; all correspondence will be sent to this address.
Address
*
Street Address
Town
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
About your relationship
Our relationship
*
Catholic Marriage
Christian / Civil Marriage
Couple living together
Other relationship / No ongoing relationship
Baptism
Date of baptism - first preference
-
Day
-
Month
Year
Date is subject to confirmation by the Parish Office.
Godfather/Witness
A Godparent must be baptized and confirmed Catholic and be over 16 years of age. If living with someone as husband and wife, the marriage must be recognized by the church. Include full legal name.
Godfather or Witness's Religion
Please Select
Catholic (Latin/Roman Rite)
Protestant (Christian)
Other religion
No religion
A witness must be baptized from another Christian religion.
Godmother/Witness
A Godparent must be baptized and confirmed Catholic and be over 16 years of age. If living with someone as husband and wife, the marriage must be recognized by the church. Include full legal name.
Godmother or Witness's Religion
Please Select
Catholic (Latin/Roman Rite)
Protestant (Christian)
Other religion
No religion
A witness must be baptized from another Christian religion.
If either Godparent will be represented by proxy, enter the proxy's name here
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