Baptism Registration Form

Child's Name *
Child's Name
Date of Birth *
Date of Birth
Gender
(City and State/Country)
Father's Name *
Father's Name
Is the Father Catholic? *
Is the Mother Catholic? *
Parent's Address *
Parent's Address
Primary Phone Number *
Primary Phone Number
Godmother's Name
Godmother's Name
Is the Godmother Catholic?
Godfather's Name
Godfather's Name
Is the Godfather Catholic?
Proposed Date of Baptism *
Proposed Date of Baptism