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.

Are you a registered parishioner of St. Joseph Church? REQUIRED NO YES Please fill out this field.

Child's Information

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

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.

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.

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:
(for the next 3 months, future dates will be added)

There will be (2) preparation classes to attend before your Baptismal date. Session A , then Session B.

Session A @ 6:30pm
April 13th
May 11th
June 8th
August 10

Session B @ 6:30pm
April 20th
May 18th
June 15
August 17