St Michael's Catholic Church

Baptism Form

Child's Name (must match birth certificate):

Child's First Name: ^*

Child's Middle Name:

Child's Surname: ^*

Date of Birth: ^*

Gender:^* Male Female

City and Country of Birth:^*

Father's First Name: ^*

Father's Family Name:^*

Father's Religion: ^*

Mother's First Name:^*

Mother's Maiden Name: ^*

Mother's Religion: ^*

Parent's Full Address: ^*

Parent's Apt./Unit

Parent's Postal Code: ^*

Parents Telephone Number(h): ^*

Parents Telephone Number(Alternate):

Parents E-mail Address: ^*

Godfather's Full Name: ^*

Godfather's Religion: ^*

Godmother's Full Name: ^*

Godmother's Religion: ^*

Please Name All Other Children in Household and Dates of Birth:

Child's Name Child's Name Child's Name Child's Name

Date of Birth Date of Birth Date of Birth Date of Birth

Date of Marriage of Parents (if applicable):

Church Where Parents Married:

Church Where Parents Registered:

Any Previous Baptism Preparation? Yes or No:^* Yes No

Year (If Previous Baptism Preparation):

Parish (If Previous Baptism Preparation):

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