Sacramental Information

Baptism Registration Form

Child's Name ______________________________________________________________

Residence ________________________________________________________________

Telephone Number _________________________________________________________

Date of Birth _____________________________ City of Birth _______________________

Desired Date of Baptism _____________________________________________________

Desired Time of Baptism _____________________________________________________

Father’s Name ______________________________________________________________

Religion of Father ___________________________________________________________

Mother’s Name (Maiden) ___________________________ (_________________________)

Religion of Mother ___________________________________________________________

Were parents married by a Catholic Priest:  Yes  /  No  (circle)

One Sponsor must be a practicing Roman Catholic who has received the sacrament of Confirmation. A certificate is required from sponsors’ pastors.

Name of Sponsor __________________________________________________________

Is he/she a Catholic? ______________________________________________________

Name of Sponsor  __________________________________________________________

Is he/she a Catholic? ______________________________________________________

Is either Sponsor represented by a Proxy? Yes  /  No  (circle)

Name of Proxy (with permission) ______________________________________________

Was the Child privately baptized? Yes  /  No  (circle)

Was the Child adopted? Yes  /  No  (circle)

NOTES:

 

 

 

 

 

 

OFFICE USE ONLY:

          Baptismal Minister: __________________________________________________

Competition of Baptismal Class:   Yes  /  No  (circle) Date: ____________________

Records:

□        Baptismal Book Entered

□        PMI - Computer Record