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:
Male
Female
Child's date of birth:
Month
Date
Year
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?
Yes
No
Date
Child's parents married in the
Catholic Church?
Yes
No
Name of Church
City and State
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.