Baptism Inquiry
St. James the Apostle
Child's Full Name (including middle name, if any)
*
First and Middle Names
Last Name
Child's Date of Birth
*
-
Month
-
Day
Year
Date
City/State of Child's Birth
*
Home Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Father's Name
*
First Name
Last Name
Father's Religion
*
Father's Email
*
example@example.com
Father's Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Mother's Name (Please include Maiden Name)
*
First Name
Maiden Name and Last Name
Mother's Religion
*
Mother's Email
*
example@example.com
Mother's Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Are you a registered parishioner at St. James the Apostle?
*
Yes
No
Unsure
Sponsor 1/Godparent Name (if known)
First Name
Last Name
Sponsor 2/Godparent Name (if known)
First Name
Last Name
Is there any additional information you would like to share at this time?
Submit to Hannah Bernstein, Sacramental Coordinator
Should be Empty: