Child & Adult Baptismal Inquiry
Please complete this form for children ages 7 and older or adults who wish to receive the Sacrament of Baptism.
Father's Last Name
*
Father's First Name
*
Mother's Maiden Name
*
Mother's First Name
*
Child or Adult's Name
*
First Name
Last Name
Child or Adult's Date of Birth
*
-
Month
-
Day
Year
Date
Child or Adult's City of Birth
*
Child or Adult's Current Age
*
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Home Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Are you currently a registered parishioner at St. Clare of Assisi?
*
Yes
No
I don't know
Any additional comments:
If you have more than one child or adult to be baptized, please add their information to this area.
Submit
Should be Empty: