Monday, March 16, 2020 at 10:49 AM
ALL WEEKEND AND DAILY MASSES ARE CANCELLED STARTING THE WEEKEND OF MARCH 14-15 UNTIL FURTHER NOTICE
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Baptism Registration

Please fill out all the required fields and click SUBMIT button when done. The Church office will contact you to confirm the Baptismal date and time. Thank you!

Name of the Child (first, Last)

Name

First Name*

Last Name*

Choose One

List (Single Choice)

	Male
	Female

Street Address

Address

Street 1*

Street 2

City*

State*

Zip*

Phone number

Phone	Required* --

Date of Birth

Date	Required* //

Place of Birth (City & State)

Text (Single Line)	Required*

Date of Baptism (To be confirmed)

Date	Required* //

Father's Name

Name

First Name*

Last Name*

Religion of Father

Text (Single Line)	Required*

Mother's First & Maiden Name

Text (Single Line)	Required*

Religion of the Mother

Text (Single Line)	Required*

In what church were parents married

Text (Single Line)

Godfather's Name (First & Last)

Name

First Name*

Last Name*

Is the Godfather a Catholic

List (Multiple Choice)
Required*

	Yes
	No

Godmother's Name (First & Last)

Name

First Name*

Last Name*

Is the Godmother a Catholic

List (Multiple Choice)
Required*

	Yes
	No

Is either Godparents represented by Proxy

List (Multiple Choice)
Required*

	Yes
	No

Remarks

Text (Multiple Lines)

If this is for St. Catharine's please click

St. Catharine