Nativity Baptism Form
Please do not use nicknames or abbreviations, as we will use this form to generate the Baptism Certificate
Child's full name:
Male
Female
Child's date of birth:
Month
Date
Year
Born in (City and State)
Requested date of Baptism
Home address
City and State
Zip code
Home phone number
FATHER'S INFORMATION
Name: First
Middle
Last
Work phone number
Cell phone number
E-mail
Religion
MOTHER'S INFORMATION
Name: First
Middle
Last
Maiden
Work phone number
Cell phone number
E-mail
Religion
Are the child's parents married?
Yes
No
Date
Child's parents married in the
Catholic Church?
Yes
No
Name of Church
City and State
GODPARENT'S INFORMATION
Godfather's Name: First
Middle
Last
Religion
Godmother's Name: First
Middle
Last
Religion
Pre-Baptism Class (date you'll be able to attend)
If you are not a registered parishioner and would like to be, please fill out the on-line registration form available on our home page.