Baptism Request-Registration Form
Name of person to be baptized
*
First Name
Middle Name
Last Name
Gender
*
Male
Female
Place of Birth
*
Baptism date and time requested
*
Date of Birth
*
Father's Full Name
*
Father's Religion
*
Mother's Full Name including Maiden Name
*
Mother's Religion
*
Are parents married?
No
Yes, but not in the Catholic Church
Yes, married in the Catholic Church
Church family attends
Phone Number
*
-
Area Code
Phone Number
E-mail
*
Sponsor Name
Sponsor's Religion
Gender
Male
Female
Sponsor's Name
Sponsor's Religion
Gender
Male
Female
Where would you like the baptism to take place
*
Private ceremony
During celebration of the Mass
Who would you like to be the celebrant?
Submit
Should be Empty: