Baptism Request and Registration Form 
Please complete this form to initiate the process of having your child baptized in the Catholic faith! Our sacramental coordinator will contact you on the following Monday or Wednesday after the form has been submitted.  Office Hours:  Monday and Wednesday:  8am - 4pm 

Please read the Baptism Guidelines and watch the video in choosing your child's godparents

The Godparent Form (to be filled out by the Catholic godparent), and the Christian Witness Form (to be filled out by the baptized, non-Catholic godparent - if applicable) must be completed and submitted prior to confirming the date and time.  

Thank you and God Bless
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Child's First, Middle, and Last Name *
Contact Name: *
Address *
Contact Phone Number *
Contact Email *
CHILD'S INFORMATION
Date of Birth *
MM
/
DD
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YYYY
City, State of Birth *
Father's Full Name: *
Religion of Father: *
Mother's First, Middle & Maiden Name: *
Religion of Mother: *
In what church or where were parents married? *
GODPARENTS
Please watch the video, "Choosing Godparents for Baptism"   https://youtu.be/1m60_eVrYE4"
Godfather's Name: *
Is the Godfather Catholic? *
Godmother's Name: *
Is the Godmother Catholic? *
Is either Godparent represented by proxy? *
Was your child privately baptized? *
Was your child adopted? *
ADDITIONAL INFORMATION 
Is this your first child to be baptized? *
Is your house blessed? *
Which parish are you a registered parishioner? *
Requested Date of Baptism *
MM
/
DD
/
YYYY
Would you like the baptism to take place during mass (performed by the priest), or outside of mass (performed by the deacon)? *
Additional information you wish to provide:
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