Baptism - St. Christopher's Church

PLEASE CONTACT PARISH OFFICE BEFORE FILLING OUT THIS FORM

Child's Full Name

Is this your first child?

YesNo

Phone Number REQUIRED

Email Address REQUIRED

Address REQUIRED

Date of Birth REQUIRED

Place of Birth REQUIRED

City, State

Father's Name REQUIRED

Religion of Father REQUIRED

Mother's Name Including Maiden Name REQUIRED

Religion of Mother REQUIRED

Were Parents Married by a Catholic Priest? REQUIRED

Godfather REQUIRED

Is Godfather Catholic? REQUIRED

Godmother REQUIRED

Is Godmother Catholic? REQUIRED

Is either Godparent represented by Proxy? REQUIRED

Name of Proxy

Was the child privately baptized? REQUIRED

Was the child adopted? REQUIRED

Requested Baptism Date

Date

Notes