Baptism Form
For infants or children under 7 years of age
Name of Child *
First Middle Last
Your answer
Sex of Child *
Date of Birth *
MM
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DD
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YYYY
Place of Birth *
City and State
Your answer
Family's Address *
House number, Street, and City
Your answer
Family's Contact Phone *
Your answer
Contact Email *
Your answer
Father's Name *
First and Last
Your answer
Father's Religion *
Mother's Name *
First and Last (Maiden Name please)
Your answer
Mother's Religion *
Were the parents married in the Catholic Church? *
Is the family registered at Nativity? *
Godfather's Name
Only one godparent is required. If the godfather is married in the Catholic Church, he and his spouse can both be godparents.
Your answer
Godfather's Religion
Godmother's Name
Only one godparent is required. If the godmother is married in the Catholic Church, she and her spouse can both be godparents.
Your answer
Godmother's Religion
Comments? Questions?
Please bring in a copy of birth certificate or adoption document for the interview.
Your answer
Date of Interview *
Please give the earliest date you are available for an interview with a priest.
MM
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DD
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YYYY
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