Baptism Registration Form

Date of Baptism
Month
Day
Year
Mass Time
Date of Workshop Attended
Month
Day
Year
Name of Child to be baptized*
Date of Birth*
Month
Day
Year
City & State of Birth*
Father's Name*
Religion of Father*
Mother's Name (First & Maiden)*
Religion of Mother*
Address (street/city/state/zip)*
Phone (work)
Phone (home)*
Email*
Are you registered in St. Joseph Parish?*
- Yes
- No
When married/ church/city/state/date*
Options for Baptism (check one)*
- Full Immersion
- Water on Head only
(See blue sheet enclosed)
Godfather
** Only 1 Catholic Godparent is required and that Godparent needs to be Confirmed, a registered member of a Catholic Parish and receiving Eucharist on a regular basis. **
Godfather's Name
Godfather's Religion
Confirmed?
Catholic Parish of Godfather
Godmother
** Only 1 Catholic Godparent is required and that Godparent needs to be Confirmed, a registered member of a Catholic Parish and receiving Eucharist on a regular basis. **
Godmother's Name
Godmother's Religion
Confirmed?
Catholic Parish of Godmother
Christian Witness
(member of another Christian faith who is not baptized Catholic. No Godparent form is required)
Christian Witness Name
Christian Witness Religion
Proxy, if necessary
Proxy's Name
Was child adopted?*
- Yes
- No
Was child privately baptized?*
- Yes
- No
Baptized by

Godfather