Baptism Request Form

If you wish to have your child baptized, please fill in this form and click on the "submit" button at the bottom. The parish office will be in touch with you to schedule the next steps.

Baptism Request Form

* Indicates required field

Child's Full Name *

Date of Birth (M/D/Y) *

Place of Birth *

Father's name *

Religion *

First Middle Last

Mother's name *

Religion *

First Middle Maiden name

Address *

Postal code *

Tel. No. *

Church of marriage *

Godparent *

If married in Catholic Church, baptized and confirmed

Choose One *

yes no

Godparent *

If married in the Catholic Church, baptized and confirmed

Choose One *

yes no

Requested date of baptism *

Time *

Registered in Parish

Choose One *

yes no

Will register

Choose One *

yes no

Email *

Additional Information *

Submit