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Information for Infant Baptism
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Email
*
Your email
Name of Child
Your answer
Gender of Child
(Sex assigned at birth)
Your answer
This is our ___ child.
1st
2nd
3rd
Other:
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Street Address
Your answer
City, State, ZIP
Your answer
Phone Number
Your answer
Email Address
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Child's Date of Birth
MM
/
DD
/
YYYY
Child's City of Birth
Your answer
Father's Name
Your answer
Religion of Father
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Mother's Name (Maiden)
Your answer
Religion of Mother
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Parish where parents worship and/or are registered
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Has either parent been involved in a divorce?
Your answer
If so, have church annulments been attained?
Your answer
Were parents married by a Catholic priest or deacon?
Your answer
Date of parent's wedding? (Catholic wedding, if multiple)
MM
/
DD
/
YYYY
Place of wedding? (Catholic wedding, if multiple)
Your answer
Name of (Catholic) Godfather
Your answer
Parish of Godfather
Your answer
Name of (Catholic) Godmother
Your answer
Parish of Godmother
Your answer
Name(s) of any Christian witnesses. (For families with non-Catholic Christian relatives)
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Will the Godparent(s) be present for the baptism?
Yes
No
Other:
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Has the child been privately baptized?
Yes
No
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Was the child adopted?
Yes
No
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For baptisms during Mass only: How many seats would you like reserved?
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