Baptism registration

Before Baptism, please fill out this form.

Parish Registration Form

Date form is filled out

Church Registered at: (if not Incarnation, you will need a permission letter from your pastor)

Full Name of Child:

Gender

Male

Female

Date of Birth:

City of Birth:

State of Birth:

Street Address

Zip

Phone (home)

Phone (cell)

Father’s Name:

Religion of Father:

Mother’s Name:

Maiden:

Religion of Mother:

Requested date of Baptism:

Time:

Godfather/Sponsor Name:

Is the Godfather/Sponsor Catholic?:

Yes

Godmother/Sponsor Name:

Is the Godmother/Sponsor Catholic?

Yes

Requested Priest/Deacon:

Were parents married by a Priest or Deacon?:

Is either Godparent/Sponsor represented by a Proxy?

Name of Proxy(s):

Was the child adopted?:

Was the child privately baptized?:

**Have you attended a Baptismal Class?:

Date attended:

Baptism registration