Baptism Registration Form

Child's Information
First Middle Last
Date of Birth *
Date of Birth
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.
First alternate date *
First alternate date
Second alternate date
Second alternate date
Have you attended the Baptismal Preparation Session? *
Typically these are held the 2nd Sunday of the month after the 11am mass.
Preferred Church *
Parent's Information
First Middle Last
First Middle Last
First Middle Last
Address *
Address
Phone *
Phone
Are the parents married? *
Is the marriage recognized by the Catholic Church? *
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.
First Middle Last
Is the godfather Catholic? *
Has the godfather received the sacrament of confirmation?
First Middle Last
Is the godmother Catholic? *
Has the godmother received the sacrament of confirmation?
Will either godparent be represented by proxy? *