BaptismBlankForRegister

Baptismal Register

Please note that this is a primary and informal document, simply to gather the main information. The pastor will be communicating with you for more details and planning together for the baptism.
Today's date:

Month Day Year
Date
Name of Child to be baptized:
Baptismal Name:
Name of the child's patron saint
Will the Child be Baptized and confirmed during the same ceremony, according to the Eastern rites of the Church?

Yes! No. We need to discuss further
Date of Birth:

Month Day Year
Date
Place of Birth:
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Phone Number

Area Code Phone Number
Email
example@example.com
Desired date of baptism:

Month Day Year
You will be contacted for further details
Desired time for baptism:

: Hour Minutes AM/PM Option
Place of Baptism:
Church, where the child will be baptized and registered.
Father’s First and Last Name:
Father’s Religion:
Please define Father's faith affiliation
Mother’s First and Maiden Name:
Mother’s Religion:
Please define Mother's faith affiliation
Were Parents Married by a Catholic Priest/Deacon:

Yes No We need to discuss further
(Sponsor) Godfather’s First and Last name:
(Sponsor) Godfather’s Religion:
Please define (Sponsor) Godfather’s faith affiliation
(Sponsor) Godmother’s First and Last Name:
(Sponsor) Godmother’s Religion:
Please define (Sponsor) Godmother’s faith affiliation
Is any of the Parents or Sponsors (Godparents) represented by Proxy?

No. they will be present in person. Yes. A proxy will be representing a parent or a sponsor.
Who is represented by Proxy?
Name of Proxy.
Was the child baptized before? (privately, for an emergency, in a different faith tradition?)

No, the child has not been baptized yet. Yes, We need to discuss further.
Was the Child adopted?

No Yes
Name of the Priest baptizing:
Please write any remarks or notes you need to communicate with the pastor, here:
St. Anthony of Padua, Maronite Catholic: 2530 Victory Parkway, Cincinnati, OH 45206 Tel: (513) 961-0120 e-mail: SaintAnthonyCincinnati@gmail.com www.staparish.org
Should be Empty:

Baptismal Register