BAPTISM REGISTRY

BAPTISM REGISTRY

Child's information
Child's Name*

First NameMiddle NameLast Name
Child's Date of Birth*

MonthDayYear
Date
Gender*
Place of Birth*
City, State and County
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
YESNO
Parent Information
Father's Name *

First NameMiddle NameLast Name
Email*
example@example.com
Phone Number*
Format: (000) 000-0000.
Fathers Religion*
Mother's Name*

First NameMiddle NameLast Name
Mothers Maiden Name*
Email*
example@example.com
Phone Number*
Format: (000) 000-0000.
Mothers Religion*
YESNO
Preferred Month For Baptism?

Communal Baptisms take place at 10am on the Third Saturday of the month in English and 10am on the Fourth Saturday of the month in Spanish.
Month interested in Baptizing?
God Parent Information
Godfathers Name*

First NameMiddle NameLast Name
Godfathers e-mail*
example@example.com
Godfathers Phone Number*
Format: (000) 000-0000.
YESNO
YESNO
YESNO
Godmother's Name*

First NameMiddle NameLast Name
Godmothers Email*
example@example.com
Godmothers Phone Number*
Format: (000) 000-0000.
YESNO
YESNO
YESNO
YESNO
Upload copy of Birth Certificate:

Cancelof
Should be Empty:

Parent Information