Baptism Information Form

Baptism Information Form

Transfiguration of Our Lord Parish
Date Requested For Baptism

MonthDayYear
Child's Name

First NameMiddle NameLast Name
Date of Birth

MonthDayYear
Civil Registration Number
13 digit code found on Birth Certificate
Hospital
Father's Name

First NameMiddle NameLast Name
CatholicOther
Mother's Maiden Name

First NameMiddle NameLast Name
CatholicOther
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Preferred Phone Number
Format: 000-000-0000.
E-mail
Godfather's Name

First NameMiddle NameLast Name
CatholicOther
Godfather's Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Godmother's Maiden Name

First NameMiddle NameLast Name
CatholicOther
Godmother's Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Additional Comments
Should be Empty: