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903.592.1617

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Baptismal Registration Parent Form

Baptism is the heart of the Great Commission:

“Therefore go and make disciples of all nations, baptizing them in the name of the Father and of the Son and of the Holy Spirit.” Matthew 28:19

BAPTISM REGISTRATION FORM FOR PARENTS
Name of Child being Baptized*
First Middle Last
Date of Birth*
Month
Day
Year
City of Birth*
Is your child adopted?*
- NO
- YES
Date of Baptism, if known
MM slash DD slash YYYY
Preferred Location
- Cathedral of the Immaculate Conception
- Chapel of Sts. Peter & Paul
Preferred Celebrant
You must provide a copy or scan of your child's birth certificate.
Address*
Street Address City State ZIP Code
What church do you attend?*
Marital Status:*
- Married in the Catholic Church
- Engaged to be Married in the Catholic Church
- Civil Marriage Only
- Living with your partner
- Single
Have Parents completed a Pre-Baptismal Class in the past two years?*
- Yes
- No
If so, provide proof of attendance
Date of Completion*
Month
Day
Year
What Church offered this Class?*
Parents
As the information appears on child's birth certificate
Father's Name*
First Last
Father's Date of Birth*
Month
Day
Year
Father's Religion*
Does Father have a cell number?*
- Yes
- No
Father's Phone*
Does Father use email?*
- Yes
- No
Father's Email*
Mother's Name*
First Last
Mother's Date of Birth*
Month
Day
Year
Mother's Religion*
Does Mother have a cell number?*
- Yes
- No
Mother's Phone*
Does Mother use email?*
- Yes
- No
Mother's Email*
Godparents
Will your child have a Godfather?*
- Yes
- No
Godfather's Name*
First Last
Phone*
Email
Address: city & state only*
City State
Religion:*
Name of Church where he attends Mass:*
Has Godfather completed a Pre-Baptismal Class in the past two years?*
- Yes
- No
If so, provide proof of class
Date of Completion*
Month
Day
Year
What Church offered this Class?*
Will your child have a Godmother?*
- Yes
- No
Godmother's Name*
First Last
Phone*
Email
Address: city & state only*
City State
Religion:*
Name of Church where she attends Mass:*
Has Godmother completed a Pre-Baptismal Class in the past two years?*
- Yes
- No
If so, provide proof of class
Date of Completion*
Month
Day
Year
What Church offered this Class?*

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