Baptism Registration Form

Name *

First

Last

Address *

Phone *

Date of Birth *

City of Birth *

Father *

First

Last

Father's Religion *

If Catholic, Practicing?

• Yes
• No

Mother (Maiden Name) *

First

Last

Mother's Religion *

If Catholic, Practicing?

• Yes
• No

Married in Church *

• Yes
• No

If yes, where?

Parents Registered *

• Yes
• No

If yes, what is your Env#?

Legal Gaurdian(s)

Documentation

If Catholic, practicing?

• Yes
• No

Godfather *

First

Last

Godfather's Religion *

Out of Parish Letter

• Yes

Godmother *

First

Last

Godmother's Religion *

Out of Parish Letter

• Yes

Name

Submit