Baptism Intake Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Baptism Intake Form

Please complete this form to request baptism for a child.

Child's Name (First, Middle and Last Name) *

Gender *

Male

Female

Child's Date of Birth (Month, Day and Year) *

Child's Place of Birth (City and State) *

Household Mailing Address Where Child Resides (Street, City, State and Zip Code) *

Is this your first child? *

Yes

Have you been through a baptismal preparation meeting before?

Yes

Clear selection

Desired Parish of Baptism (Select One) *

St. Augustine Catholic Church, Cohasset, MN

St. Joseph Catholic Church, Grand Rapids, MN

Please Register My Household (Check all that apply.)

I believe I am already registered but if not, please register my household at the following parish:

St. Augustine Catholic Church, Cohasset, MN

St. Joseph Catholic Church, Grand Rapids, MN

No, thank you. I am already registered at another parish.

Are you seeking baptism for any other child(ren) of the same parents and household address as indicated above? *

Yes

Clear form

Never submit passwords through Google Forms.

This form was created inside of St. Joseph's School.

Does this form look suspicious? Report