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The maximum number of form submissions has been reached. This form is currently not available.
Baptisms
ARE NOT
scheduled until the parish receives and processes this form. Staff member will contact you to go over the processes.
What Church do you attend
REQUIRED
Please fill out this field.
Please enter valid data.
Child's Information
FULL Name (Last, First and Middle)
Please enter valid data.
Gender
REQUIRED
(Select One)
Female
Male
Please fill out this field.
Date of Birth (xx/xx/xxxx)
REQUIRED
Please fill out this field.
Please enter valid data.
Birth City / State
REQUIRED
Please fill out this field.
Please enter valid data.
Was this Child Adopted?
NO
YES
Father's Information
First Name
REQUIRED
Please fill out this field.
Please enter valid data.
Last Name
REQUIRED
Please fill out this field.
Please enter valid data.
Father's Religion
REQUIRED
(Select One)
Catholic
Non-Catholic
Please fill out this field.
Address
Please enter valid data.
City
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State
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DE
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ID
IL
IN
KS
KY
LA
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MD
ME
MH
MI
MN
MO
MS
MT
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Zip
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Please enter a zip code.
Email
REQUIRED
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Please enter an email address.
Phone Number
REQUIRED
Maximum 20 characters
Please fill out this field.
Please enter a phone number.
Mother's Information:
FULL Name (Last, First ) and Maiden
REQUIRED
Please fill out this field.
Please enter valid data.
Mother's Religion
REQUIRED
(Select One)
Catholic
Non-Catholic
Please fill out this field.
Address
Please enter valid data.
City
REQUIRED
Please fill out this field.
Please enter valid data.
State
REQUIRED
AK
AL
AR
AS
AZ
CA
CO
CT
DC
DE
FL
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MH
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
PW
RI
SC
SD
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
Please fill out this field.
Zip
REQUIRED
Please fill out this field.
Please enter a zip code.
Email
REQUIRED
Please fill out this field.
Please enter an email address.
Phone Number
REQUIRED
Maximum 20 characters
Please fill out this field.
Please enter a phone number.
Have parents previously attended a Baptism Preparation Class
REQUIRED
YES
NO
Please fill out this field.
Godfather's Information:
First Name
REQUIRED
Please fill out this field.
Please enter valid data.
Last Name
REQUIRED
Please fill out this field.
Please enter valid data.
Is he a practicing Catholic?
REQUIRED
YES
NO
Please fill out this field.
Godmother's Information:
First Name
REQUIRED
Please fill out this field.
Please enter valid data.
Last Name
REQUIRED
Please fill out this field.
Please enter valid data.
Is she a practicing Catholic
REQUIRED
YES
NO
Please fill out this field.
Desired Baptism Date:
(Dates listed do not always reflect availabilty. Baptism Corrdinator will contact you to confirm your date selection.)
Please pick one:
November 25, 2023 at 4:00pm Mass
November 26, 2023 at 9:00am Mass
November 26, 2023 at 11:00am Mass
November 26, 2023 at 1:00pm (Outside of Mass
January 6, 2024 at 4:00pm Mass
January 7, 2024 at 9:00am Mass
January 7, 2024 at 11:00am Mass
There will be (2) preparation classes to attend before your Baptismal date. Session A , then Session B.
(If you have not previously attended a baptism preparation class , please see the available dates below. Parents must attend an A and B class before the desired baptism date. The Baptism Coordinator will contact you to schedule these classes if needed.)
Session A @ 6:30pm
November 8
December 6
Session B @ 6:30pm
November 15
December 13
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