Nativity Baptism Form

Please do not use nicknames or abbreviations, as we will use this information to generate the Baptism Certificate

The name of the newly baptized and of the parents are published in our weekly bulletin, which is posted on our website on the Internet.
If you do not wish the names to be published, please click here


Child's full name:
Child's date of birth:
Born in (City and State) Requested date of Baptism
Home address
City and State Zip code
Home phone number
 
FATHER'S INFORMATION
Name: First Middle Last     
Work phone number Cell phone number E-mail
Religion
 
MOTHER'S INFORMATION
Name: First Middle Last Maiden    
Work phone number Cell phone number E-mail
Religion
 


Are the child's parents married?




Date

Child's parents married in the
Catholic Church?

 
GODPARENT'S INFORMATION
Godfather's Name: First Middle Last
Religion                 
Godmother's Name: First Middle Last
Religion                 
 
Pre-Baptism Class (date you'll be able to attend)
 
If you are not a registered parishioner and would like to be, please fill out the on-line registration form available on our home page.