* Required

Baptism Request Form

Please type information as it will appear in the parish sacramental records and baptismal certificate

Family Information

Requested Date of Baptism (mm/dd/yyyy)

Family Name*required

Email Field*required

Address 1

City

State

Zip

Home Phone

cell phone

Is the family registered at St. Paul Parish?*

Yes No

Name of Parish

Please include city/state

Child Information

Child's First Name

Child's Middle Name

Child's Last Name

Child's Date of Birth (mm/dd/yyyy)

Child's Place of Birth

City/State

Parent Information

Father's First Name

Father's Last Name

Father's Religion

Mother's First Name

Mother's Maiden Name

Select List

Are parents married?

Yes No

Are parents validly married in the Catholic Church?

Yes No

Parish of Parents' Marriage

Please include city/state

Godparents Information

Godfather's Name

Godfather's Religion

Is Godfather registered at St. Paul Parish?

Yes No

If no please submit letter of eligibility from Godfather's parish.

Godmother's Name

Godmother's Religion

Is Godmother registered at St. Paul Parish?

Yes No

If no please submit letter of eligibility from Godmother's parish.

Special Circumstances

Complete only if applicable.

Will a proxy be present for the godparent(s)

Yes No

Name of Proxy

Was the child privately baptized (i.e., emergency situation at home or in hospital)?

Yes No

Date of Baptism (mm/dd/yyyy)

Place of Baptism

include city/state

Name of Person who baptized

Please send a confirmation email to the address below*:

Please provide an email address where we can send a link to your current form.

Email Address :