Baptism Registration Form

Baptisms ARE NOT scheduled until the parish receives and processes this form. Staff member will contact you to go over the processes.

Child's Information

FULL Name (Last, First and Middle) Please enter valid data.

Gender REQUIRED Please fill out this field.

Date of Birth (xx/xx/xxxx) REQUIRED Please fill out this field. Please enter valid data.

Birth City / State REQUIRED Please fill out this field. Please enter valid data.

Was this Child Adopted? NO YES

Father's Information

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.

Father's Religion REQUIRED Please fill out this field.

Address Please enter valid data.

City REQUIRED Please fill out this field. Please enter valid data.

State REQUIRED Please fill out this field.

Zip REQUIRED Please fill out this field. Please enter a zip code.

Email REQUIRED Please fill out this field. Please enter an email address.

Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Mother's Information:

FULL Name (Last, First ) and Maiden REQUIRED Please fill out this field. Please enter valid data.

Mother's Religion REQUIRED Please fill out this field.

Address Please enter valid data.

City REQUIRED Please fill out this field. Please enter valid data.

State REQUIRED Please fill out this field.

Zip REQUIRED Please fill out this field. Please enter a zip code.

Email REQUIRED Please fill out this field. Please enter an email address.

Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Have parents previously attended a Baptism Preparation Class REQUIRED YES NO Please fill out this field.

Godfather's Information:

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.

Is he a practicing Catholic? REQUIRED YES NO Please fill out this field.

Godmother's Information:

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.

Is she a practicing Catholic REQUIRED YES NO Please fill out this field.

Desired Baptism Date:
(Dates listed do not always reflect availabilty. Baptism Corrdinator will contact you to confirm your date selection.)

There will be (2) preparation classes to attend before your Baptismal date. Session A , then Session B.
(If you have not previously attended a baptism preparation class , please see the available dates below. Parents must attend an A and B class before the desired baptism date. The Baptism Coordinator will contact you to schedule these classes if needed.)

Session A @ 6:30pm
June 7
August 9
September 13

Session B @ 6:30pm
June 14
August 16
September 20