Baptism Class Registration

Choose a Class: *

Mother's First Name *

Mother's Last Name *

Mother's Date of Birth * +

Mother's Phone Number *

Father's First Name *

Father's Last Name *

Father's Date of Birth * +

Father's Phone Number

First Name of Child to Be Baptized (put unknown if no name is yet chosen) *

Last Name of Child to Be Baptized *

Is the Baby Born? *

Born

Unborn

Child's Birth Date * +

What parish do you belong to? *

Best Email Address *

Re-enter email address *

Street Address *

City *

State *

Zip Code *

Is this your your first child to be baptized? *

Yes

No

Baptism Class: *

Who is seeking this Baptism? *

Who? *

Grandparents Last Name *

Grandparents First Name(s) *

Grandparents Phone Number *

Are Parents Married? *

Yes

No

Are Parents Married in the Church? *

Yes

No

Do the parents live at the same address? *

Yes

No

Which parent does the child live with primarily? (you may only choose one) *

Father

Mother

Do the parents have a date set to get married? *

Yes

No

Wedding Date * +

Comments or questions