Baptism Registration Form

: Baptism Registration Form
: Please note: All sections must be completed!
Child's Name:
Gender:: MaleFemale
Date of Birth (xx/xx/xxxx):
City/State of Birth:
Mother's Full Name (including Maiden Name):
Mother's Religion:
Father's Name:
Father's Religion:
: (Note: at least one Godparent must be 17 years or older, confirmed, practicing Catholic in good standing)
Godmother's Name:
Godmother's Religion
Godfather's Name:
Godfather's Religion
: (If a a Godparent cannot be present, a proxy may be used to stand in their place)
Proxy Name
Standing in for:
Proxy Name:
Standing in for:
Family Address (street and number):
Family Address (City, State, Zip)
Family Phone #:
Family Email:
Date of attendance of Baptismal Preparation Class
Place of attendance of Baptismal Preparation Class
Date desired for Baptism:
Time desired for Baptism:

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Baptism Registration Form

Baptism Registration Form

Please note: All sections must be completed!

(Note: at least one Godparent must be 17 years or older, confirmed, practicing Catholic in good standing)

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

Are You Still Working?

Your session has expired