PLEASE CONTACT PARISH OFFICE BEFORE FILLING OUT THIS FORM
Child's Full Name
Is this your first child?
Yes
No
Phone Number REQUIRED
Email Address REQUIRED
Address REQUIRED
Date of Birth REQUIRED
Place of Birth REQUIRED
City, State
Father's Name REQUIRED
Religion of Father REQUIRED
Mother's Name Including Maiden Name REQUIRED
Religion of Mother REQUIRED
Were Parents Married by a Catholic Priest? REQUIRED
Godfather REQUIRED
Is Godfather Catholic? REQUIRED
Godmother REQUIRED
Is Godmother Catholic? REQUIRED
Is either Godparent represented by Proxy? REQUIRED
Name of Proxy
Was the child privately baptized? REQUIRED
Was the child adopted? REQUIRED
Requested Baptism Date
-
Month
-
Day
Year
Date
Notes
Submit Baptism Registration
Print Form
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