Section 1 of 3
Baptism Initial Intact Sheet
Welcome to Saint Valentine's Church! We are overjoyed with the opportunity to welcome your child into not only St. Valentine's Church but also the Sacrament of Baptism which is God's most beautiful and magnificent gift.
Kindly fill out this form and submit so that we can begin the process of scheduling your Baptism. Once this form is submitted we ask that you and your chosen Godparents work to obtain the required letters and documentation necessary to stand as "Godparents'.
If at any time you have any concerns or questions feel free to contact our Baptism coordinator (Mrs. Marta Cirilli-Kuebler at 201-725-5621).
Kindly fill out this form and submit so that we can begin the process of scheduling your Baptism. Once this form is submitted we ask that you and your chosen Godparents work to obtain the required letters and documentation necessary to stand as "Godparents'.
If at any time you have any concerns or questions feel free to contact our Baptism coordinator (Mrs. Marta Cirilli-Kuebler at 201-725-5621).
Section 2 of 3
Untitled Section
Section 3 of 3
Untitled Section
Question
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
Multiple choice grid
Checkbox grid
Date
Time
Option 1
Add option
or
add "Other"
…
Answer key
(0 points)
Loading...
Family Name
Family Name
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
Multiple choice grid
Checkbox grid
Date
Time
Answer key
(0 points)
Loading...
Mailing Address
Mailing Address
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
Multiple choice grid
Checkbox grid
Date
Time
Answer key
(0 points)
Loading...
Phone Number
Phone Number
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
Multiple choice grid
Checkbox grid
Date
Time
Answer key
(0 points)
Loading...
Contact Parent Email Address
Contact Parent Email Address
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
Multiple choice grid
Checkbox grid
Date
Time
Answer key
(0 points)
Loading...
Father's Name
Father's Name
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
Multiple choice grid
Checkbox grid
Date
Time
Answer key
(0 points)
Loading...
Is the Father...
Is the Father...
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
Multiple choice grid
Checkbox grid
Date
Time
Catholic
Christian
Other
Add option
or
add "Other"
…
Answer key
(0 points)
Loading...
Mother's Name
Mother's Name
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
Multiple choice grid
Checkbox grid
Date
Time
Answer key
(0 points)
Loading...
Mother's Maiden Name
Mother's Maiden Name
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
Multiple choice grid
Checkbox grid
Date
Time
Answer key
(0 points)
Loading...
Is the Mother
Is the Mother
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
Multiple choice grid
Checkbox grid
Date
Time
Catholic
Christian
Other
Add option
or
add "Other"
…
Answer key
(0 points)
Loading...
Godparent Information
Godparent Information
Loading...
God Mother's Name
God Mother's Name
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
Multiple choice grid
Checkbox grid
Date
Time
Answer key
(0 points)
Loading...
God Father's Name
God Father's Name
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
Multiple choice grid
Checkbox grid
Date
Time
Answer key
(0 points)
Loading...
Child's Information
Child's Information
Loading...
Child's Name
Child's Name
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
Multiple choice grid
Checkbox grid
Date
Time
Answer key
(0 points)
Loading...
Sex
Sex
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
Multiple choice grid
Checkbox grid
Date
Time
Female
Male
Add option
or
add "Other"
…
Answer key
(0 points)
Loading...
Place of Birth
Place of Birth
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
Multiple choice grid
Checkbox grid
Date
Time
Answer key
(0 points)
Loading...
Date of Birth
Date of Birth
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
Multiple choice grid
Checkbox grid
Date
Time
Answer key
(0 points)
Loading...
Requested Date of Baptism ( please note all Baptisms are celebrated on the 2nd Sunday of each month at 12 noon Mass)
Requested Date of Baptism ( please note all Baptisms are celebrated on the 2nd Sunday of each month at 12 noon Mass)
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
Multiple choice grid
Checkbox grid
Date
Time
Answer key
(0 points)
Loading...
Rectory Use
Rectory Use
Loading...
Baptism Date (Office confirmed)
Baptism Date (Office confirmed)
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
Multiple choice grid
Checkbox grid
Date
Time
Answer key
(0 points)
Loading...
Celebrant
Celebrant
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
Multiple choice grid
Checkbox grid
Date
Time
Answer key
(0 points)
Loading...
Additional Notes
Additional Notes
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
Multiple choice grid
Checkbox grid
Date
Time
Answer key
(0 points)
Loading...
Link to Sheets
Summary
Question
Individual
Insights
Total points distribution
Loading...
Settings
Responses
Manage how responses are collected and protected
Presentation
Manage how the form and responses are presented
Defaults
Form defaults
Settings applied to this form and new forms
Question defaults
Settings applied to all new questions