Baptism Registration Form

Family Last Name REQUIRED Please fill out this field. Please enter valid data.

Are you a registered parishioner of Saints Peter and Paul? REQUIRED Yes No Please fill out this field.

If not registered, do you have a connection with Saints Peter and Paul? Family registered? Please enter valid data.

Address REQUIRED Please fill out this field. Please enter valid data.

City REQUIRED Please fill out this field. Please enter valid data.

State REQUIRED Please fill out this field.

Zip REQUIRED Please fill out this field. Please enter a zip code.

Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Email Address REQUIRED Please fill out this field. Please enter valid data.

Child's Name (First, Middle, Last) REQUIRED Please fill out this field. Please enter valid data.

Child's Birth Date REQUIRED Please fill out this field. Please enter a date.

City and State of Child's Birth REQUIRED Please fill out this field. Please enter valid data.

Father's Legal Name REQUIRED Please fill out this field. Please enter valid data.

Father's Religion REQUIRED Please fill out this field. Please enter valid data.

Mother's Legal Name REQUIRED Please fill out this field. Please enter valid data.

Mother's Maiden Name REQUIRED Please fill out this field. Please enter valid data.

Mother's Religion REQUIRED Please fill out this field. Please enter valid data.

Parent's Marriage REQUIRED Married in the Catholic Church Married Civilly Only Married in Other Religion Not Married Please fill out this field.

You are only required to have one Godparent. If you are having two Godparents, one must be a male and one a female.
The godparent must:

have completed their 16th year
be a Catholic who has received their First Communion and Sacrament of Confirmation
not be the father or the mother
be validly married in the Church or living a chaste single life

Godparent 1 Name REQUIRED Please fill out this field. Please enter valid data.

Godparent 1 Gender REQUIRED Male Female Please fill out this field.

Godparent 1 Age REQUIRED Please fill out this field. Please enter valid data.

Sacraments Godparent 1 Has Received in Catholic Church REQUIRED Baptism First Communion Confirmation Please fill out this field.

If married, is Godparent 1 married in Catholic Church? REQUIRED Yes No Not Married Please fill out this field.

Godparent 2 Name Please enter valid data.

Godparent 2 Gender Male Female

Godparent 2 Age Please enter valid data.

Sacraments Godparent 2 Has Received in Catholic Church Baptism First Communion Confirmation

If married, is Godparent 2 married in Catholic Church? Yes No Not Married

Will a Godparent be represented by a proxy? Godmother Godfather

Have the parents attended a Baptism Preparation Class? If so, please indicate where and when. REQUIRED Please fill out this field.