Baptism Request Form

- Sacraments

Baptism Request Form
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- *PLEASE SUBMIT A COPY OF THE CANDIDATE'S BIRTH CERTIFICATE TO KENDALL SOLE AT K.SOLE@STTHERESA.CC.
- Baptism Preferred Date Please enter valid data.
- CANDIDATE INFORMATION (as it appears on child's birth certificate)
- Candidate's Legal First Name: REQUIRED Please fill out this field. Please enter valid data.
- Candidate's Legal Middle Name: Please enter valid data.
- Candidate's Legal Last Name: REQUIRED Please fill out this field. Please enter valid data.
- Candidate's Suffix Please enter valid data.
- Candidate's Date of Birth (mm/dd/yyyy): REQUIRED Please fill out this field. Please enter valid data.
- Candidate's Sex: REQUIRED Please fill out this field.
- Candidate's Place of Birth (County/State-as stated on the birth certificate): REQUIRED Please fill out this field. Please enter valid data.
- CONTACT INFORMATION (information regarding candidate's Baptism will be sent to this contact information)
- Preferred Phone Number: REQUIRED Please fill out this field. Please enter valid data.
- Preferred Email Address: REQUIRED Please fill out this field. Please enter valid data.
- Mailing Address (address, apt., city, state, zip code): REQUIRED Please fill out this field. Please enter valid data.
- Would you like to register as active parishioner? (This is not required to receive this sacrament) REQUIRED Please fill out this field.
- Would you like to receive notifications regarding our parish? REQUIRED Please fill out this field.
- PARENT INFORMATION (as stated on the candidate’s birth certificate):
- Mother's First Name (prior to first marriage): REQUIRED Please fill out this field. Please enter valid data.
- Mother's Middle Name (prior to first marriage): Please enter valid data.
- Mother's Last Name (prior to first marriage): REQUIRED Please fill out this field. Please enter valid data.
- Mother's Religion REQUIRED Please fill out this field. Please enter valid data.
- Father's First Name: REQUIRED Please fill out this field. Please enter valid data.
- Father's Middle Name: Please enter valid data.
- Father's Last Name: Please enter valid data.
- Do you have Baptism Prep for parents? REQUIRED Yes No Please fill out this field.
- Father's Religion REQUIRED Please fill out this field. Please enter valid data.
- If Yes, when and where parents attended to prep class? (date and parish) Please enter valid data.
- Marital Status REQUIRED Single Married Divorced Separated Widow Please fill out this field.
- GODPARENT INFORMATION
  
  Only one godparent is required.
  
  If there are two godparents, one will be a male and one female.
  
  At least one godparent must be fully initiated Catholic and have good standing with the Church.
  
  A baptized non-catholic is NOT eligible to serve as a godparent. However, he or she may serve as a Christian witness.
  
  If a godparent is not able to be present, he or she may request a proxy to stand in his/her place.
- Female Godparent's First Name: Please enter valid data.
- Female Godparent's Middle Name: Please enter valid data.
- Female Godparent's Last Name: Please enter valid data.
- Female Godparent's Religion: Please enter valid data.
- Do you have Baptism Prep for godparents? REQUIRED Yes No Please fill out this field.
- Male Godparent's First Name: Please enter valid data.
- Male Godparent's Middle Name: Please enter valid data.
- Male Godparent's Last Name: Please enter valid data.
- Male Godparent's Religion: Please enter valid data.
Submit

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Baptism Request Form

CANDIDATE INFORMATION (as it appears on child's birth certificate)

CONTACT INFORMATION (information regarding candidate's Baptism will be sent to this contact information)

PARENT INFORMATION (as stated on the candidate’s birth certificate):

GODPARENT INFORMATION