Baptism Request Form

- Sacraments
Contact Us
- Kendall Sole
  
  Baptisms
  
  713-869-3783

Baptism Request Form
The maximum number of form submissions has been reached. This form is currently not available.
- *PLEASE SUBMIT A COPY OF THE CANDIDATE'S BIRTH CERTIFICATE TO KENDALL SOLE AT K.SOLE@STTHERESA.CC.
- Baptism Preferred Month 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.
- Father's Religion REQUIRED Please fill out this field. Please enter valid data.
- Marital Status REQUIRED Single Married Divorced Separated Widow Please fill out this field.
- Do you have Baptism Prep for parents (a class taken to prepare for Catholic baptism of your child/godchild) REQUIRED Yes No Please fill out this field.
- If Yes, when and where parents attended to prep class? (date and parish) Please enter valid data.
- GODPARENT INFORMATION
  Only one godparent is required and must be baptized, confirmed and in good standing with the Church. In addition, a second godparent of the opposite sex can be chosen. If this second person is baptized but not catholic, this godparent will be a “Christian Witness.”
  If a godparent is not able to be present for the ceremony, a proxy may stand in their 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.
- 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

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

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