Baptism Registration

Welcome to St. Patrick's Roman Catholic Church

CHILD'S FULL NAME(Required)

GENDER(Required)

Male

Female

DATE OF BIRTH(Required)

PLACE OF BIRTH(Required)

FULL MAILING ADDRESS(Required)

FATHER’S NAME:(Required)

FATHER'S RELIGION(Required)

MOTHER'S NAME:(Required)

MAIDEN NAME:(Required)

MOTHER'S RELIGION(Required)

HOME PHONE #:(Required)

CELL PHONE #:

EMAIL(Required)

WE ATTEND MASS AT ST. PATRICK PARISH:(Required)

YES

(Your family must be registered with a Parish)

(If not, please indicate parish):(Required)

GODPARENT(S)

Please note that one Godparent must be a practicing Catholic who has celebrated the Sacraments of Baptism, Holy Communion and Confirmation in the Catholic Church. A second person can be selected. The second may be another Catholic, or a baptized Christian of another faith tradition. A maximum of two are permitted, one male and one female.

GODPARENT: MALE

GODPARENT MALE RELIGION:

GODPARENT: FEMALE

GODPARENT FEMALE RELIGION:

Hidden

PROXIES (if any):

Hidden

Proxy’s Religion:

Hidden

Additional Info

Hidden

HOME MAILING ADDRESS(Required)

REQUIRED DOCUMENTS

Please note the following documents are required to accompany your child’s registration.

Your Child’s Birth Certificate(Required)

Max. file size: 100 MB.

Either Parent’s Catholic Baptismal Certificate(Required)

Max. file size: 100 MB.

Would you like to make an offering to help support the Baptism Ministry?(Required)

Yes

Offering Amount

Credit Card

Card Details

Cardholder Name

Additional Information