Baptism Registration Form Play Pause Unmute Mute Please enable JavaScript in your browser to complete this form.Child's Name *FirstMiddleLastBirth DateGenderMaleFemalePhysical Address (if different from above)Address Line 1Address Line 2City— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeHome Phone *Cell PhoneEmailPlace of BirthProposed Date of BaptismMass PreferenceSaturday 5PM MassSunday 7AM MassSunday 9AM MassSunday 11:30AM Spanish MassSunday 1:00PM MassSunday 4:00PM MassSunday 6:00PM Spanish MassGodfather's Name *FirstMiddleLastReligionGodmother's Name *FirstMiddleLastReligionPARENT INFORMATIONFather's NameFirstMiddleLastIs father Catholic?YesNoMother's NameFirstMiddleLastIs mother Catholic?YesNoAre parents married?YesNoMarriage Type *CatholicCivilChristianOtherMarriage Date *How long have you been together/married (years, months)? *How many children do you have?Are your other children been baptized?YesNoSubmit