Baptism Registration Form

Baptism Pre-Registration Form

Please complete the form below to register you or your child for the sacrament of Baptism.

Baptismal Candidate Information

* Indicates required field

Child/Person's Full Name *

Date of Birth *

Place of Birth *

State/Country *

Proposed Date of Baptism *

Proposed Time of Baptism *

Parent Information

Father's Full Name *

Mother's Full Name *

Mother's Maiden Name *

Is the Father Catholic? *

Yes No

If the Father is NOT Catholic, provide faith professed *

Is the Mother Catholic? *

Yes No

If the Mother is NOT Catholic, provide faith professed *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Mother's Address (if different from Father) *

Line 1

Line 2

City

State

Zip Code

Country

Father's Phone Number *

Mother's Phone Number *

Father's Email *

Mother's Email *

Godparent Information

The child may only have only two godparents. One is to be a man and one is a woman. At least one of the godparents must be older than 16 years of age, and must have received Confirmation in the Roman Catholic Church. Additionally, they should be active Catholics and in good standing with the Roman Catholic Church.

Godfather's Name *

Godfather's Parish *

Godmother's Name *

Godmother's Parish *

Submit

Printable Baptism Pre-Registration Form

If you do not wish to complete the electronic form above, please complete the printable form below and return it to the Parish Office.

Printable Baptism Pre-Registration Form