Baptism Information Form

Baptism Information Form

Provide the child, parent, parish, and consent details needed to request a baptism.
Child
Child Full Name

First NameMiddle NameLast Name
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Place of Birth - City
Place of Birth - Province
Place of Birth - Country
Requested Baptism Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Parents
Father's Name

First NameLast Name
Father's Religion
Mother's Name (First and Maiden)

First NameLast Name
Mother's Religion
Street Address
City
Province
Postal Code
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Parish
Are you registered at Our Lady of the Assumption Parish?
Envelope Number
Where are you registered?
Names of other children baptized at Our Lady of the Assumption
Was this child legally adopted?
Adopted as
Adoption Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Adoption Place
Adopting Parents

First NameMiddle NameLast Name
Marital Status of Parents
What is the marital status of the parents?
Name and city of church
Godparents
Godparents must be baptized, have made first communion, be confirmed and should be practicing the Catholic faith. If they are married, they are to be married in the Catholic Church. Only two people can be chosen as godparents. One does not have to choose two, but if two are chosen they are to be one male and one female. Each godparent must submit a Godparent Form signed by the pastor of their parish, no later than one week before the baptism.
Godfather Full Name

First NameMiddle NameLast Name
Godfather Parish
Godfather Email
example@example.com
Godmother Full Name

First NameMiddle NameLast Name
Godmother Parish
Godmother Email
example@example.com
Will a proxy stand in for a godparent?
A proxy must fulfill the same conditions as the godparent, including a Godparent Form signed by the pastor of his/her parish.
Proxy Name

First NameMiddle NameLast Name
Proxy Full Home Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Should be Empty:

Baptism Information Form

Child

Parents

Parish

Marital Status of Parents

Godparents