Please complete the form below to start the Baptism registration process. Baptism RegistrationName*Name of Person Submitting this Form First Last Email Name of Child* First Last Date of Birth* MM slash DD slash YYYY Phone*Address* Street Address City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Place of Birth* Date of Baptism* MM slash DD slash YYYY Father's Name* Father's Religion* Mother's Maiden Name* Mother's Religion* Were Parents Married by a Catholic Priest?*YesNoGodfather's Name* Is Godfather a Catholic?* Godmother's Name* Is Godmother a Catholic? Is either Godparent represented by Proxy?*YesNoName of Proxy* Was the child privately Baptized?*YesNoWas the child adopted?*YesNoName of Priest Prefix Mr.Mrs.MissMs.Dr.Prof.Rev. First Last NameThis field is for validation purposes and should be left unchanged.
