Baptism Registration

CHILD'S FULL NAME*
First Middle Last
GENDER*
- Male
- Female
DATE OF BIRTH*
MM slash DD slash YYYY
PLACE OF BIRTH*
FULL MAILING ADDRESS*
Street Address City Postal Code
FATHER’S NAME:*
First Middle Last
FATHER'S RELIGION*
MOTHER'S NAME:*
First Middle Last
MAIDEN NAME:*
MOTHER'S RELIGION*
HOME PHONE #:*
CELL PHONE #:
EMAIL*
WE ATTEND MASS AT ST. PATRICK PARISH:*
- YES
- NO
(Your family must be registered with a Parish)
(If not, please indicate parish):*
GODPARENT(S)
Please note that one Godparent must be a Confirmed practicing Catholic. 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*
Street Address City Postal Code
REQUIRED DOCUMENTS
Please note the following documents are required to accompany your child’s registration.
Your Child’s Birth Certificate*
Max. file size: 100 MB.
Either Parent’s Catholic Baptismal Certificate*
Max. file size: 100 MB.
Godparent’s Catholic Confirmation Certificate*
Max. file size: 100 MB.
Would you like to make an offering to help support the Baptism Ministry?*
- Yes
- No
Amount Offered
Total
$ 0.00 CAD
Credit Card
Card Details
Cardholder Name
Additional Information

GODPARENT(S)