Baptismal Request Form

Father's Name: REQUIRED Please fill out this field. Please enter valid data.

Father's Religion? REQUIRED Please fill out this field. Please enter valid data.

Mother's First Name and Maiden Name: REQUIRED Please fill out this field. Please enter valid data.

Mother's Religion? REQUIRED Please fill out this field. Please enter valid data.

Address: REQUIRED Please fill out this field.

Best Telephone number: REQUIRED Please fill out this field. Please enter valid data.

Best email address: Please enter valid data.

Are you a registered parishioner? REQUIRED Yes No Please fill out this field.

Marital status of child's parents? REQUIRED Married Unmarried (Together but not married) Divorced Single Please fill out this field.

If married, are you married in the Church? REQUIRED Yes No We are not married Please fill out this field.

FULL Name of child to be Baptized REQUIRED Please fill out this field. Please enter valid data.

Child is Male / Female? REQUIRED Male Female Please fill out this field.

Child's Date of Birth and Age at last birthday REQUIRED Please fill out this field. Please enter valid data.

Child's place of birth (City / State / Country) REQUIRED Please fill out this field. Please enter valid data.

Chosen Godfather (must be a practicing Catholic) REQUIRED Please fill out this field. Please enter valid data.

Chosen Godmother (must be a practicing Catholic) REQUIRED Please fill out this field. Please enter valid data.

It is required for both parents and godparents to attend a baptismal class. Have both you and your spouse attended a class in the last 2 years? REQUIRED Yes No In process Please fill out this field.

If "Yes" or "In process," when and where? Must have proof of attendance. Please enter valid data.

Have the godparent/s attended a class in the last two years? REQUIRED Yes No In process Please fill out this field.

If "Yes" or "In process," when and where? Must have proof of attendance. Please enter valid data.

In which church do you desire the baptism to take place? REQUIRED Please fill out this field.

Baptism date desired? Please enter valid data.