Data for Baptismal Register

Please use the form below to enter data for the baptismal register!

Baptismal Registration Form

Parent Email(Required)

Name of Child

First Middle Last

Date of Birth

City of Birth

City State / Province / Region

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Father's Name

First Middle Last

Religion of Father

Mother's Maiden Name

First Middle Last

Religion of Mother

Date of Baptism

Time

Godfather's Name

Is Godfather Catholic?

Godmother's Name

Is Godmother Catholic?

Name of Priest

Were parents married by a priest?

Is either Godparent represented by proxy?

Name of proxy(s)

Was the child adopted?

Was the child privately baptized?