Baptism Registration Form

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

Child Gender REQUIRED Male Female Please fill out this field.

City & State of Birth REQUIRED Please fill out this field. Please enter valid data.

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

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

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

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

Father's Name Please enter valid data.

Father's Religion Please enter valid data.

Mother's Name Please enter valid data.

Mother's Religion Please enter valid data.

Mother's Maiden Name Please enter valid data.

Parents Married in (church name) REQUIRED Please fill out this field. Please enter valid data.

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

Were parents married by a Catholic Priest? REQUIRED Yes No Please fill out this field.

If not, marriage blessed? Yes No

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

Parents' Parish of Registration REQUIRED Please fill out this field. Please enter valid data.

How many children have you had baptized? REQUIRED This is my first child being baptized This is my second child being baptized This is my third child being baptized More than the third Please fill out this field.

Request two possible dates for baptism: REQUIRED Please fill out this field.

Check preferred mass location/day/time (may choose more than one) REQUIRED Holy Family Church: Saturday 4:00 PM Holy Family Church: Sunday 10:30 AM Holy Family Church: Sunday 1:00 PM (Spanish Mass) St. Joseph Church: Sunday 7:30 AM St. Joseph Church: Sunday 9:00 AM Please fill out this field.

Pews Reserved? REQUIRED Yes No Please fill out this field.

How many attending? REQUIRED Please fill out this field. Please enter valid data.

Godfather Information

Godfather Name REQUIRED Please fill out this field. Please enter valid data.
Catholic? REQUIRED Yes No Please fill out this field.
Email address REQUIRED Please fill out this field. Please enter valid data.
Proxy (name) REQUIRED Please fill out this field. Please enter valid data.

Godmother Information

Godmother Name REQUIRED Please fill out this field. Please enter valid data.
Catholic? REQUIRED Yes No Please fill out this field.
Email address REQUIRED Please fill out this field. Please enter valid data.
Proxy (name) REQUIRED Please fill out this field. Please enter valid data.

Criteria for Baptism:

Registered at Epiphany Parish--or a letter from their Pastor.
Reasonable assurance that the child will be raised Catholic.
Parents attend Mass regularly.
Have completed the Catechesis for Baptism and are willing to take part in other sacramental programs.
One Godparent must be a baptized, confirmed and practicing Catholic and the other Godparent must be a Baptized Christian
Proxy does not have to be Catholic
When does the Baptism take place? After the Homily, before the Profession of Faith
How early to be there? 15 Minutes before Mass and seated in reserved seating

Baptism Registration Form

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Registration Form for Baptism