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 candidate to be Baptized and or Confirmed:
*
First and Last name of child or adult approaching the mystery of Baptism
Desired Baptismal / Confirmation Name:
*
Name that the candidate will receive at Baptism (Patron Saint)
The candidate will be Baptized and Confirmed during the same ceremony, according to the Eastern rites of the Church?
*
Baptism & Confirmation
Confirmation only (Candidate is already baptized)
Other
Candidate Date of Birth:
*
/
Month
/
Day
Year
Date
Candidate 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:
*
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Place of Baptism:
Church, where the child will be baptized and registered.
Father’s First and Last Name:
*
Father’s Religion:
*
Maronite
Melkite
Latin (Middle Eastern)
Latin (Western)
Orthodox
Protestant
Other
Please define Father's faith affiliation
Mother’s First and Maiden Name:
*
Mother’s Religion:
*
Maronite
Melkite
Latin (Middle Eastern)
Latin (Western)
Orthodox
Protestant
Other
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:
*
Maronite
Melkite
Latin (Middle Eastern)
Latin (Western)
Orthodox
Protestant
Other
Please define (Sponsor) Godfather’s faith affiliation
(Sponsor) Godmother’s First and Last Name:
*
(Sponsor) Godmother’s Religion:
*
Maronite
Melkite
Latin (Middle Eastern)
Latin (Western)
Orthodox
Protestant
Other
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. OR in a different faith tradition?)
No, the child has not been baptized yet.
Other
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
Submit
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