Baptismal Application Form

The Child

Please enter the child’s full name as it appears on their birth certificate, including any middle names.
This field is required.
Please enter the child’s date of birth.
This field is required.
Please enter the child’s place of birth.
This field is required.

Parents

Please enter the mother’s full name.
This field is required.
This field is required.
Please enter the mother’s religion.
This field is required.
Home Address
Please provide your home address.
This field is required.
This field is required.
This field is required.
This field is required.
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.
This field is required.
Please enter the name and place of the Catholic Church in which you married each other.
This field is required.
Please enter the father’s full name.
This field is required.
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.
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.
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.

Please provide the Godparent’s full name.
This field is required.
Please enter the First Godparent’s religion.
This field is required.
Please provide the Godparent’s full name.
This field is required.
Please enter the Second Godparent’s religion.
This field is required.
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.
Please specify any special requests or notes regarding the baptism.
Please check this box to confirm your agreement with the statement.
This field is required.
Please type your name.
This field is required.
Please enter the date of the signature.
This field is required.
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