Baptism Registration Form Baptism Registration FormChild's Name:* First Middle Last Child's Gender:*MaleFemaleChild's Date of Birth:* Date Format: MM slash DD slash YYYY Place of Birth*Address Where Child Resides:* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Parent's InformationMother's Name:* First Middle Last Mother's Maiden Name*Mother's Cell Phone:*Mother's Email:* Religion of MotherFather's Full Name:* First Middle Last Father's Cell Phone:*Father's Email:* Religion of FatherAre Parents Married?*YesNoDid you attend a Baptism Class?*YesNoBaptism Class Date* Date Format: MM slash DD slash YYYY PLEASE NOTE: Godparent Validation Form(s) are to be turned into the Faith Formation Office PRIOR TO SCHEDULING THE BAPTISM.Godparent's InformationGodmother Name First Middle Last Catholic?YesNoParishioner of St. Mary's?YesNoName and Location of Home ParishGodfather Name First Middle Last Catholic?YesNoParishioner of St. Mary's?YesNoName and Location of Home ParishIs either Godparent represented by Proxy?YesNoName of ProxyIs the Child Adopted?*YesNoDisclaimer• I hereby grant permission for publication of group (two or more persons) photo(s) and videos taken at church events to be used for church publications only. I've read the terms above and:*I agreeI disagree
