Baptismal Application Form
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The Child
Child’s Full Name
*
Please enter the child’s full name as it appears on their birth certificate, including any middle names.
This field is required.
Child’s Date of Birth (Day/Month/Year)
*
Please enter the child’s date of birth.
This field is required.
Place of Birth
*
Please enter the child’s place of birth.
This field is required.
Parents
Mother’s Full Name
*
Please enter the mother’s full name.
This field is required.
Mother’s Maiden Name (if applicable)
This field is required.
Mother’s Religion
*
Please enter the mother’s religion.
This field is required.
Home Address
Please provide your home address.
Address Line 1
*
This field is required.
Address Line 2
This field is required.
Municipality (City or Town)
*
This field is required.
Postal Code
*
This field is required.
Email Address
*
Please enter a valid email address for communication.
This field is required.
Phone Number
*
Please enter your preferred phone number, including area code.
This field is required.
Are you Married in the Catholic Church
*
Please check the appropriate box.
Select an option
Yes
No
This field is required.
If Married in the Catholic Church, please indicate Name and Place of Church
Please enter the name and place of the Catholic Church in which you married each other.
This field is required.
Father’s Full Name
Please enter the father’s full name.
This field is required.
Father’s Religion
Please enter the father’s religion.
This field is required.
Are either, or both, Parents Registered as Parishioners?
*
Please check the appropriate box.
Note, if neither parent is registered, or you are unsure, the rectory office will contact you regarding registration.
Select an option
Yes, both of us are registered.
Yes, one of us is registered.
No, but I would like to be
No, neither of us is registered
I'm not sure
This field is required.
If not already doing so, would you consider Supporting Your Parish Financially?
*
Please check the appropriate box.
To explore various ways of supporting your parish, click on the Donate button in the main menu.
Select an option
Yes, I am already supporting my parish financially
Yes, I am willing to start financially supporting my parish
No, not at this time
This field is required.
Godparents
At least one Godparent must be a practicing Catholic. Those designated as Godparents must be practising Catholics, and must have received the three sacraments of initiation: Baptism, First Eucharist, and Confirmation, and be living a life consistent with the faith. An email or letter from a Godparent’s Pastor may be required before the Baptism can be celebrated, attesting to the practise of their faith.
Full Name of First Godparent
*
Please provide the Godparent’s full name.
This field is required.
Religion of First Godparent
*
Please enter the First Godparent’s religion.
This field is required.
Full Name of Second Godparent
*
Please provide the Godparent’s full name.
This field is required.
Religion of Second Godparent
*
Please enter the Second Godparent’s religion.
This field is required.
Preferred Date of Child’s Baptism (Day/Month/Year)
Please enter your preferred date for your child’s baptism.
While we cannot guarantee your preferred date, we will try to accommodate you.
This field is required.
Special Requests or Notes
Please specify any special requests or notes regarding the baptism.
As the child’s parent or legal guardian, I confirm, to the best of my knowledge, that the above information provided by me in this form is true and correct.
*
Please check this box to confirm your agreement with the statement.
This field is required.
Signature of Parent and/or Legal Guardian
*
Please type your name.
This field is required.
Date of Signature (Day/Month/Year)
*
Please enter the date of the signature.
This field is required.
Submit
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