Information for Baptism
Name of Person to be Baptized *
First Middle Last
Date of Birth *
MM
/
DD
/
YYYY
Place of Birth *
City, State (Country if outside of USA)
Gender *
Father's Information
Father's Full Name *
First Middle Last
Father's Religion *
Practicing *
Required
Mother's Information
Mother's Full Name *
First Middle Last
Mother's Maiden Name *
Mother's Religion *
Practicing *
Required
Parent's Contact Information
Parent's Current Address *
Parent's Email Address *
Parent's Phone *
Parent's Phone
Church Membership
Registered member of Our Lady of the Lake? *
If no, where registered?
Church or place where married? *
Godparents
One Godparent must be a practicing Confirmed Catholic, the non Catholic Godparent is considered a Christian Witness
Name of Godfather *
First Middle Last
Is he a practicing Catholic? *
If Yes, name of Parish
Name of Godmother *
First MIddle Last
Is she a practicing Catholic? *
If Yes, name of Parish
Proxy(s) needed?
If yes, please list names
Do you have any additional information to add?
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