Baptism Registration

Child's First, Middle and Last Name REQUIRED Please fill out this field. Please enter valid data.

Gender REQUIRED Please fill out this field.

Date of Birth REQUIRED Please fill out this field. Please enter a date.

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

Desired Date of Baptism REQUIRED Please fill out this field. Please enter a date.

Desired Time of Baptism Please enter valid data.

Language preferred REQUIRED Please fill out this field.

Family Home 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.

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

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

Father's First and Last Name REQUIRED Please fill out this field. Please enter valid data.

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

Sacraments Father Has Received in The Catholic Church Baptism First Communion Confirmation

Mother's First 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.

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

Sacraments Mother Has Received in The Catholic Church Baptism First Communion Confirmation

Marital Status of the Parents REQUIRED Please fill out this field.

GODPARENTS

They must be practicing Catholics.
At least one godparent is required, however it is customary to have two. Must be one man and one woman.
At least 16 years of age.
They must have received the Sacraments of Baptism, the Holy Eucharist and Confirmation in the Catholic Church.
If married, even if they are standing alone or with someone other than their spouse, the marriage must be validly recognized by the Catholic Church (and not simply a civil marriage or living with a partner outside of marriage).
If they are from another parish, they are required to provide a letter of good standing signed by their parish Pastor.

First and Last Name of Godfather Please enter valid data.

Sacraments Godfather Has Received in The Catholic Church REQUIRED Baptism First Communion Confirmation Please fill out this field.

Name of The Catholic Parish He Attends Please enter valid data.

First and Last Name of Godmother Please enter valid data.

Sacraments Godmother Has Received in The Catholic Church REQUIRED Baptism First Communion Confirmation Please fill out this field.

Name of The Catholic Parish She Attends Please enter valid data.

Comments or Additional Information

Today's Date REQUIRED Please fill out this field. Please enter a date.