Baptism Registration Form
Registration for the Sacrament of Baptism

* NOTE - Baptism dates cannot be set until the family has spoken to the priest or deacon. Dates can be requested using this form, but cannot be confirmed until speaking with and/or meeting with the priest or deacon who will be performing the Baptism.

Church of Baptism *
Your answer
Baptism Date Requested *
MM
/
DD
/
YYYY
Name of child to be baptized: (First) (Middle) (Last) *
Your answer
Gender of Child *
Date of Birth *
MM
/
DD
/
YYYY
City & State Where Born *
Your answer
Mother's Name (First) (Middle) *
Your answer
Maiden Name *
Your answer
Religious Background
Your answer
Father's Name (First) (Middle) (Last) *
Your answer
Religious Background
Your answer
Next
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.