Baptized Information

First, Middle, & Last Name

Birth Date

City/State of Birth

Gender

Parents must provide a

Birth Certificate for verification

Parent Information

Father's First, Middle, & Last Name

Address

Phone

Email

Mother's First, Middle, & Maden Last Name

Address

Phone

Email

Is the father a Parishioner?

Yes

No

Is the mother a Parishioner?

Yes

No

Would you like to Register?

Yes

No

Married Parents?

Yes

No

Parents Married in the Catholic Church?

Yes

No

Godparent Information

There should be at least ONE Godparent (Sponsor) who is at least 16 years old, and a fully initiated and practicing Catholic registered in a Parish. There can be up to ONE MALE and ONE FEMALE. Baptized

non-Catholic Christians can be witness in place of a Catholic Godparent.

Godfather's First, Middle, & Last Name

Select one

Confirmed Catholic

Baptized Non-Catholic Witness

Godmother's First, Middle, & Last Maiden Name

Select one

Confirmed Catholic

Baptized Non-Catholic Witness

Proxy (if needed) First, Middle, & Last Name

Proxy for

Godfather

Godmother

Baptism Notations/Remarks

Select if applies to you

Conditional

Supplying of Rites

ADOPTED:

For children Baptized after their adoption is finalized, "the fact of adoption but not the names of the natural parents" is recorded in the register but never on a certificate. The names is "the Christian name(s) of the child as designated by the adoptive parent(s)"and taken from the revised birth certificate. If both adoptive parents are of the same sex, the names of the adoptive parents are listed in the notations column not the parent column. For adoptions after Baptism, see Sacramental Records Handbook.

Baptism Request Form

Baptized Information

Parent Information

Godparent Information