Online Baptism Form

Child's FULL NAME (First, Middle, Last):

Gender:

Male

Female

Date of Birth:

City/State of Birth:

Father's Name:

Father's Religion:

Mother's Full Name (including Maiden name):

Mother's Religion:

Godfather's Name (Note: At least one Godparent must be 16 years or older, confirmed, practicing Catholic in good standing):

Godfather's Religion:

Godmother's Name:

Godmother's Religion:

Proxy Name (If a Godparent cannot be present, a proxy may be used to stand in their place):

Standing in for:

Proxy Name:

Standing in for:

Family Address

Family Phone:

Family Email:

Have you attended a Baptismal Preparation Class?

Yes

Date and time for desired Baptism:

Other information you would like to share: