Pre-Baptismal Questionnaire

All information that you submit to us is kept secure and confidential.

Child's First Name *

Child's Middle Name *

Child's Last Name *

Gender *

Female

Male

Child's Birthday (MM/DD/YYYY) 🛈 +

Place of Birth? (city, state/province and country) *

Parent Information

Mother's Name: *

Mother's Maiden Name: *

Mother's Religion *

Father's Name:

Father's Religion

Family Contact Information

Street Address: *

City *

State *

Postal Zip Code *

Phone *

Email *

Would your family members or God Parents wish to carry up the Offertory gifts during the Baptismal mass celebration (if applicable)? *

Yes

How many pews do you anticipate needing reserved for the Baptism? (for family/friends attending) *