BAPTISM Form
Saint Thomas Becket Catholic Church
Full Name of the Child *
Your answer
Child's Gender *
Current Address *
Your answer
Phone Number *
Your answer
Email Address *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Place of Birth *
City and State
Your answer
Was your child adopted? *
Full Mother's Name *
Your answer
Maiden Name: *
Your answer
Mother's Religion *
Your answer
Full Father's Name *
Your answer
Father's Religion *
Your answer
Are the Parents Married? *
Were you married in a Catholic Church? *
Full Godmother's Name *
Your answer
Godmother's Religion *
Your answer
Full Godfather's name *
Your answer
Godfather's Religion *
Your answer
Is either godparent represented by proxy?
If so, name of Proxy
Your answer
Choose a Date/Time of Baptism *
Your attendance to the WORKSHOP is required, we encourage you to bring your child.
Time of Baptism *
* Only if the Baptism is during a Mass
Immersion? *
Submit
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