Baptism

Full Name of Child REQUIRED Please fill out this field. Please enter valid data.

Gender REQUIRED Male Female Please fill out this field.

Date of Birth REQUIRED Please fill out this field. Please enter valid data.

Place of Birth REQUIRED Please fill out this field. Please enter valid data.

Father's Full Name REQUIRED Please fill out this field. Please enter valid data.

Father's Religion REQUIRED Please fill out this field. Please enter valid data.

Mother's Full Name REQUIRED Please fill out this field. Please enter valid data.

Mother's Maiden Name REQUIRED Please fill out this field. Please enter valid data.

Mother's Religion REQUIRED Please fill out this field. Please enter valid data.

Mailing Address REQUIRED Please fill out this field. Please enter valid data.

Phone Number REQUIRED Please fill out this field. Please enter valid data.

Email REQUIRED Please fill out this field. Please enter valid data.

Parent's Marital Status REQUIRED Single Married in the Catholic Church Married Civil Separated Divorced Please fill out this field.

Are you registered parishioners of Holy Name REQUIRED Yes No, please fill out new parishioner registration form Please fill out this field.

Is the child adopted REQUIRED Yes No Please fill out this field.

Other children's names and ages Please enter valid data.

GODPARENTS INFORMATION:
Note: at least one godparent has to be a confirmed Catholic, practicing their faith, and in good standing.

REQUIREMENTS FOR GODPARENTS:

have completed the sixteenth year of age
be a baptized Catholic who has been Confirmed and has already received the Most Holy Sacrament of the Eucharist and leads a life of faith in keeping with the function to be taken on
Not be bound by any canonical penalty legitimately imposed or declared; and if married, married in the Catholic Church
Not be the father or mother of the one to be baptized

Godfather's Name Please enter valid data.

Godfather's Religion Please enter valid data.

Godfather's Home Parish (get letter of good standing from home parish) Please enter valid data.

Godmother's Name Please enter valid data.

Godmother's Religion Please enter valid data.

Godmother's Home Parish (get letter of good standing from home parish) Please enter valid data.

Will either godparent be represent by a proxy? REQUIRED Yes No Please fill out this field.

Name(s) of proxy Please enter valid data.

Any questions or comments? Please enter valid data.