Baptism Registration

After registration has been submitted and reviewed, Father will contact you.

* Indicates required field

Date *

Have the parents completed a preparation session? *

Preferred Time of Baptism *

If during Mass, how many pews do you need reserved? *

First Date of Choice for Baptism (Please list the month and date) *

Second Date of Choice for Baptism (Please list the month and date) *

Child to be Baptized

Last/First/Middle *

Gender *

Date of Birth *

Place of Birth *

First Name *

Last Name *

Religion *

First Name *

Last Name *

Religion *

Are the parents married? *

If yes, were you married by a priest? *

Is one or both parents registered members of either parishes? *

Email *

Home Phone Number *

Father's Cell Number *

Mother's Cell Number *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Godfather's First and Last Name *

Religion *

Godmother's First and Last Name *

Religion *

Siblings Name *

Submit