Baptismal Registration Form Child's Legal Name as Stated on Their Birth Certificate Child's Legal First Name * Child's Legal Middle Name Child's Legal Last Name * Child's Date of Birth * MM DD YYYY Child's Gender * Male Female City and State of Birth * Family Info: Name of Home Parish Where Registered * Father's Full Legal Name * Father's Religion (Roman Catholic, Other Christian, Other) If Other, please list denomination. * Mother's Legal First, Middle & Maiden Name * Mother's Religion (Roman Catholic, Other Christian, Other * Marital Status * Were You Married by a Catholic Priest, Catholic Deacon, Non-denominational Minister or Justice of the Peace? * Place of Marriage (Name of church/location & city, or please indicate if not applicable) * Date of Marriage MM DD YYYY Family's Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Father's Cell * (###) ### #### Father's Email Mother's Cell * (###) ### #### Mother's Email * Godparent Information Godfather's Full Name Godfather's Religion * Roman Catholic Other Christian If Other Christian, please list denomination. Godfather's Email Godfather's Cell * (###) ### #### If Godfather is to be represented by proxy, list name of proxy Godmother's Full Name Godmother's Religion * Roman Catholic Other Christian If Other Christian, please list denomination. Godmother's Email Godmother's Cell * (###) ### #### If Godmother is to be represented by proxy, list name of proxy Additional Information Include any additional information you would like for us to have. Thank you so much! OFFICE USE ONLY: DATE OF CLASS ___________________ DATE OF BAPTISM________________ INFORMATION PENDING? PARENT NAMES _______________________________ RELIGIONS _______________________________ MARITAL STATUS & LOCATION _______________________________ FAMILY ADDRESS, EMAIL, PHONE _______________________________ GODFATHER'S NAME, RELIGION, EMAIL, CELL, PROXY _______________________________ GODMOTHER'S NAME, RELIGION, EMAIL, CELL, PROXY _______________________________ Thank you!
