Child's Information

Child's Full Legal Name *

First Middle Last

City and State of Birth *

Date of Birth *

Date of Birth

YYYY

Desired Date of Baptism *

Desired Date of Baptism

Please note that desired date may not be available and the Parish will contact you for alternative options. Please enter alternate dates below.

YYYY

First alternate date

YYYY

Second alternate date

YYYY

Have you attended the Baptismal Preparation Session? *

Typically these are held the 2nd Sunday of the month after the 11am mass.

Yes

Preferred Church *

Holy Cross

St. Mary, Star of the Sea

Our Lady of Good Counsel

No Preference

Parent's Information

Father's Full Legal Name *

First Middle Last

Father's Religion *

Mother's Full Maiden Name *

First Middle Last

Mother's Present Legal Name *

First Middle Last

Mother's Religion *

Address *

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Email *

Phone *

Phone

(###)

###

####

Are the parents married? *

Yes

Is the marriage recognized by the Catholic Church?

Yes

Godparent Information

NOTE: Both Godparents must be Christian. At least one Godparent must be a Catholic who has been baptized, has been confirmed, has received their first Eucharist, and, if married, can provide proof of a marriage recognized by the Catholic church. If there are two Godparents, they must represent both genders.

Godfather's Full Legal Name *

First Middle Last

Is the godfather Catholic? *

Yes

If not, what is the godfather's religion?

Has the godfather received the sacrament of confirmation?

Yes

Godmother's Full Legal Name *

First Middle Last

Is the godmother Catholic? *

Yes

If not, what is the godmother's religion?

Has the godmother received the sacrament of confirmation?

Yes

Will either godparent be represented by proxy? *

Yes

If so, please enter the proxy's name:

Thank you!

Baptism Registration Form