Baptism Registration Form
Christ the King welcomes your child into the Community of Faith.
Thank you for choosing our parish for your child's Baptism.
Please complete the following form and you will be contacted shortly.
Thank you.
Child's Full Name *
Your answer
Child's Nickname *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Gender *
Place of Birth, City, State *
Your answer
Child Adopted? *
Date of Adoption
MM
/
DD
/
YYYY
Date, if there was an Emergency Baptism
MM
/
DD
/
YYYY
Are you a registered parishioner of Christ the King? *
Home Address *
Your answer
Home City, State, Zip *
Your answer
Home Phone *
if applicable
Your answer
Father's Full Name *
Your answer
Father's Religion/Denomination *
Your answer
Father's Email *
Your answer
Father's Cell Phone *
Your answer
Mother's Full Name *
Your answer
Maiden Name *
Your answer
Mother's Religion/Denomination *
Your answer
Mother's Email *
Your answer
Mother's Cell Phone *
Your answer
Marriage *
Yes
No
Married 
By Priest
Date of Marriage *
MM
/
DD
/
YYYY
Place of Marriage *
Your answer
City, State *
Your answer
Other Children *
Child Name1, Age1
Your answer
Child Name2, Age2
Your answer
Child Name3, Age3
Your answer
Godparent Name1 *
Your answer
Godparent Religion/Denomination1 *
Your answer
Godparent Parish1 *
Your answer
Godparent Name2 *
Your answer
Godparent Religion/Denomination2 *
Your answer
Godparent Parish2 *
Your answer
Name of Priest/Deacon who will be performing Baptism (if other than from Christ the King)
Your answer
Any special needs or concerns?
Your answer
For first-time parents only. Choose one of the following Track 1 dates for 2017: *
For first-time parents only. Choose one of the following Track 2 dates for 2017: *
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