Baptism Information Form


This is not a Baptismal Certificate.

Please fill out this form prior to baptism.

Date
Date
Residence
Residence
Date of Birth
Date of Birth
Date of Baptism
Date of Baptism
Has the Father received the sacrament of Confirmation?
Home Phone - Father
Home Phone - Father
Cell Phone - Father
Cell Phone - Father
Has the Mother received the sacrament of Confirmation?
Home Phone - Mother
Home Phone - Mother
Cell Phone - Mother
Cell Phone - Mother
Are the parents married to each other?
Are the parents married in a Church?
Are you a registered member of LOTW?
Attendance at Mass
Was the child privately baptized?
If yes was the child baptized in the case of an emergency?
Is the child adopted?
Godparent Information
Is the Godfather a Confirmed and practicing Catholic?
Is he a baptized Christian?
Is the Godmother a Confirmed and practicing Catholic?
Is she a baptized Christian?
Will there be a proxy for the Godparent(s) at the Baptism?