Baptism Registration

Have you ever participated in a Baptism Preparation Class? REQUIRED Yes No Please fill out this field.

If Yes, when and where was the Baptism Preparation Class?

What is the full name of child to be baptized? REQUIRED Please fill out this field. Please enter valid data.

Address REQUIRED Please fill out this field. 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.

What is the main contact's cell phone number? REQUIRED Please fill out this field. Please enter a phone number.

What is the main contact's email address? REQUIRED Please fill out this field. Please enter an email address.

What is the child's date of birth? Please enter valid data.

What is the child's place of birth? REQUIRED Please fill out this field. Please enter valid data.

What is your preferred date of baptism? (Saturdays and Sundays) REQUIRED Please fill out this field. Please enter valid data.

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

Religion of Father REQUIRED Please fill out this field. Please enter valid data.

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

Mother's maiden name REQUIRED Please fill out this field. Please enter valid data.

Religion of Mother REQUIRED Please fill out this field. Please enter valid data.

Were parents married by a Catholic priest? REQUIRED Yes No Please fill out this field.

What parish is your family currently registered? REQUIRED Please fill out this field. Please enter valid data.

Godfather

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 the Godfather Catholic? REQUIRED Yes No Please fill out this field.

Godmother

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

Last Name REQUIRED Please fill out this field. Please enter valid data.
Was the child privately baptized? REQUIRED Yes No Please fill out this field.
Is the Godmother Catholic? REQUIRED Yes No Please fill out this field.

Is either Godparent represented by a proxy? REQUIRED Yes No Please fill out this field.

Was your child adopted? REQUIRED Yes No Please fill out this field.

What is the name of the priest that you prefer? REQUIRED Please fill out this field. Please enter valid data.