Baptism Registration Form Baptism Registration FormChild's Name:* First Middle Last Child's Gender:* Male Female Child's Date of Birth:* 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 Mother Father's Full Name:* First Middle Last Father's Cell Phone:*Father's Email:* Religion of Father Are Parents Married?* Yes No Did you attend a Baptism Class?* Yes - indicate date below No - indicate scheduled class date below Baptism Class Date* 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? Yes No Parishioner of St. Mary's? Yes No Name and Location of Home Parish Godfather Name First Middle Last Catholic? Yes No Parishioner of St. Mary's? Yes No Name and Location of Home Parish Is either Godparent represented by Proxy? Yes No Name of Proxy Is the Child Adopted?* Yes No Disclaimer• 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 agree I disagree
