Baptism Data Register Form (Log Chapel & Basilica of the Sacred Heart)
Please complete this form at least two weeks before the baptism is to take place along with submitting a letter of permission from your parish priest. Also, if this is your first born, a pre-baptismal class is required. Please contact your local parish regarding this class. Letters can be emailed to: tkaram@nd.edu or faxed to 574-631-5445 or mailed to:
Basilica of the Sacred Heart
Attn.: Thomas Karam
319 Coleman Morse Center
Notre Dame, IN 46556

If this is a Log Chapel Baptism, you will need to make arrangements with Mary Froning at the Basilica Sacristy Supply Office (574) 631-8029 to pick-up the key during the hours of 8am-3pm Monday-Friday.
Email address *
Child's full name (first middle last) *
Your answer
Is this your first born? (If yes, a pre-baptismal class is required at your local parish) *
Date of birth *
MM
/
DD
/
YYYY
Born in (City & State) *
Your answer
Father's full name (first middle last) *
Your answer
Mother's full name (first middle last) *
Your answer
Mother's maiden name *
Your answer
Father's Religion *
Your answer
Mother's Religion *
Your answer
Home address *
Your answer
City *
Your answer
State *
Your answer
Zip code *
Your answer
Telephone number with area code *
Your answer
Email address *
Your answer
Date of Baptism *
MM
/
DD
/
YYYY
Time of baptism *
Time
:
Location of Baptism *
Godfather's full name (first middle last) (only one can be listed) *
Your answer
Godfather's religion *
Your answer
Godmother's full name (first middle last) (only one can be listed) *
Your answer
Godmother's religion *
Your answer
Name of priest performing the baptism *
Your answer
Priest address *
Your answer
Is Godparent represented by Proxy? *
If yes, name of proxy
Your answer
Was the child adopted? *
Was the child privately baptized? *
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