Baptism Information Form

Child's Information

Child's First Name REQUIRED Please fill out this field. Please enter valid data.
Child's Middle Name REQUIRED Please fill out this field. Please enter valid data.
Child's Last Name REQUIRED Please fill out this field. Please enter valid data.
Child's Gender REQUIRED Male Female Please fill out this field.
Date of Birth REQUIRED Please fill out this field. Please enter a date.
State of Birth REQUIRED Please fill out this field.
City of Birth REQUIRED Please fill out this field. Please enter valid data.

Family Information

Family 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.
Family Land Line or General Home Phone Number Please enter a phone number.

Father's Information

Father's Full Name REQUIRED Please fill out this field. Please enter valid data.
Father's Religion Please enter valid data.
Father's Email REQUIRED Please fill out this field. Please enter valid data.
Father's Cell Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Mother's Information

Mother's Full 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 Please enter valid data.
Mother's Email REQUIRED Please fill out this field. Please enter valid data.
Mother's Cell Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Marital Information

Parent's Marital Status Please enter valid data.
Date of Marriage Please enter a date.
Place of Marriage Please enter valid data.

IMPORTANT Regarding Godparents: Being a Godparent is more than an honorary title. When someone agrees to be a Godparent, it means that they are pledging to play a significant and positive role in that Child’s life and his/her faith formation and spiritual life. A Godparent must be a practicing Catholic, and if married, married by a Catholic priest/deacon. If you have two Godparents, Church law requires that one be a man and the other be a woman. You may have a person who is a baptized Christian stand next to a Godparent as a Christian Witness. However, there must always be at least one Godparent who is a practicing Catholic.

Godfather

Godfather's Name Please enter valid data.
Godfather's Religion REQUIRED Please fill out this field. Please enter valid data.
Is the Godfather a practicing Catholic REQUIRED YES NO Please fill out this field.
Is the Godfather Confirmed? REQUIRED YES NO Please fill out this field.

Godmother

Godmother's Name REQUIRED Please fill out this field. Please enter valid data.
Godmother's Religion REQUIRED Please fill out this field. Please enter valid data.
Is the Godmother a practicing Catholic REQUIRED YES NO Please fill out this field.
Is the Godmother Confirmed? REQUIRED YES NO Please fill out this field.

General Information

Regarding the Schedule of Baptisms:

With all the realities of our COVID-19 new normal and to work through the backlog of baptism requests, we can schedule baptisms on some weeknights at 5 PM or 7 PM, on Saturdays (depending on our funeral and wedding schedules) at 12 Noon or 1:30 PM or on Sundays at 10 AM.

In the fields below, please propose FOUR options that might work for you and/or your family based on the criteria above. We will then confirm the baptism by email.

All of our baptisms are now private; your family will be the only family in the church. All those present would have to wear masks and would need to adhere to our social distancing rules. For those families who might be interested, we can livestream a baptism for those family members who may not be able to attend the baptism. If Godparents are not able to be present, we can have a proxy stand in their place (we would just need to know the name of the proxy so it can be noted in the baptism record).
Date Request OPTION 1 REQUIRED Please fill out this field. Please enter valid data.
Date Request OPTION 2 REQUIRED Please fill out this field. Please enter valid data.
Date Request OPTION 3 REQUIRED Please fill out this field. Please enter valid data.
Date Request OPTION 4 REQUIRED Please fill out this field. Please enter valid data.
Is this your first child being baptized? REQUIRED YES NO Please fill out this field.
Who completed this form? REQUIRED Child's Mother Child's Father Please fill out this field.
Email Address of the Person Completing this form: REQUIRED Please fill out this field. Please enter an email address.
Please list any other comments or special circumstances here.

St. Joan of Arc

Catholic Church

Baptism Information Form