Before Baptism, please fill out this form.
N.B. - This is NOT a Certificate of Baptism

Please type the name of the child:
Is the child male or female:
Enter your residence:
Enter your phone number:
Enter the child's date of birth
Enter the child's place of birth:
Enter the date of baptism:
Enter the father's name:
Enter the religion of the father:
Enter the mother's maiden name:
Enter the religion of the mother:
Enter the church where the parents were married:
Enter the godfather's name:
Is the godfather a Catholic?
Enter the godmother's name:
Is the godmother a Catholic?
Is either godparent represented by proxy?
Was the child privately baptized?
Indicate whether or not the child was adopted
Enter your remarks:
Enter the name of the priest: