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HOME
Information
Services
- Parish Pastoral Council
- Virtual Tour
Ministries
Outreach Center Ministry

Baptismal form

Contact the Parish office for assistance

Date and Time of Baptism

Date

Time

Name of Child:

First

Middle

Last

Date of Birth

Place of Birth:

What City and state is the birth place of child?

Address

Address Line 1

Address Line 2

City

State

Zip Code

Primary phone number

Secondary phone number

Email

Are the parents registered parishioners?

Yes
No

If not registered do you have pastoral permission? *

Yes
No

Religion

Maiden Name of Mother

First

Middle

Last

Name of Father

First

Middle

Last

Religion

Section Divider

Name of Godfather

First

Middle

Last

Religion

Civil Status

Single
Separated
Married Civilly
Living Together
Catholic Church
Widowed
Divorced
Annulled

Name of Godmother *

First

Middle

Last

Religion

Civil Status

Single
Separated
Married Civilly
Living Together
Catholic Church
Widowed
Divorced
Annulled

Section Divider

Is this a special case? If yes please fill out the following questions. Leave empty if no.

Yes
No

Godparents' Representative / Proxy?

Yes
No

If yes please explain.

Private or “By Intention” Baptism performed?

No
Yes

If yes please explain.

Adopted

Yes
No

BAPTISMAL PREPARATION

Who will be in charge of the baptismal preparation? *

First

Last

Who is the prepper?

Parent(s)
Godparent(s)

Date of preparation

Do you have any notes for us?

Donations received by

Date

Donations from

P/W Ready
Sponsors
Parents
Bulletin
Census

Register -Vol

Name

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