Baptism Registration Form

Baptism Registration Form
Description:
Please complete this form to request the Sacrament of Baptism for your child.
All information must be accurate.

Please note: The baptismal certificate will reflect the mother's maiden name.
SECTION 1: CHILD INFORMATION
First Name
Middle Name
Last Name
Gender
Date of Birth

MonthDayYear
Date
City of Birth
State of Birth
SECTION 2: PARENT / GUARDIAN INFORMATION
Are you registered parishioners at St. Anne?
Parish Registration Number
If you are not yet registered, please complete your registration before continuing.
Parents Married?

SECTION 3: GODPARENTS
At least one Godparent is required. A Christian Witness is optional.
Godfather
Godfather Name

First NameMiddle InitialLast Name
Godmother
Godmother Name

First NameMiddle InitialLast Name
SECTION 4: GODPARENT REQUIREMENTS
- Fully initiated Catholic (Baptism, Eucharist, Confirmation)
- At least 16 years old
- Practicing Catholic in good standing
- Not in an invalid marriage
- Not the parent of the child
SECTION 5: CHRISTIAN WITNESS (OPTIONAL)
Will you have a Christian Witness?
Name of Christian Witness
Religion

SECTION 6: DOCUMENTS & PREPARATION
Child's Birth Certificate
Upload Birth Certificate (Please upload scanned PDF copies. Photos taken with a mobile phone may exceed email size limits and delay processing.)

Cancelof
You may proceed with scheduling your child's Baptism without submitting the birth certificate at this time. However, an official baptismal certificate will not be issued until a copy of the birth certificate is received.
Baptism Preparation Class
Have you completed a Baptism Preparation Class within the past 3 years?
Upload Baptism Preparation Certificate (Please upload scanned PDF copies. Photos taken with a mobile phone may exceed email size limits and delay processing.)

Cancelof
If you selected "Yes" and are not uploading a certificate, please explain below: (Long Text Field - Conditionally Required) Explanation: "Please include the parish name, approximate date of completion, or reason the certificate is unavailable."
SECTION 7: DECLARATION + SIGNATURE
We affirm that all information provided is true and accurate. We request the Sacrament of Baptism for our child and commit to raising our child in the Roman Catholic faith.
Mother/Guardian 1 (Required)
Signature
Date

MonthDayYear
Date
Father/Guardian 2 (Optional)
Signature

Date

MonthDayYear
Date
OPTIONAL DONATION

An offering is not required; however, if you would like to donate to support the Basilian Fathers and the mission of the Church, it is greatly appreciated.

A donation may be made through this LINK.
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