Baptism

Please fill out this form and someone will contact you within the next few days.

WHICH MONTH WOULD YOU LIKE TO HAVE YOUR CHILD BAPTIZED? REQUIRED

Saint Joseph Baptisms are the 2nd Sunday of every month / Saint Mary Baptisms are the 4th Sunday of every month

Please fill out this field. Please enter valid data.

WHICH SUNDAY WOULD YOU LIKE? 2nd Sunday of the Requested Month at SAINT JOSEPH 4th Sunday of the Requested Month at SAINT MARY

CHILD'S FIRST, MIDDLE, & LAST NAME REQUIRED Please fill out this field. Please enter valid data.

CHILD'S DATE OF BIRTH REQUIRED Please fill out this field. Please enter valid data.

CHILD'S PLACE OF BIRTH REQUIRED Please fill out this field. Please enter valid data.

FATHER'S LAST NAME Please enter valid data.

FATHER'S FIRST & MIDDLE NAME Please enter valid data.

MOTHER'S MAIDEN NAME (Mother's Maiden Name is required to appear on all documents and records) REQUIRED Please fill out this field. Please enter valid data.

MOTHER'S FIRST & MIDDLE NAME REQUIRED Please fill out this field. Please enter valid data.

ADDRESS (Street Address) REQUIRED Please fill out this field. Please enter valid data.

TOWN Please enter valid data.

STATE

ZIP CODE Please enter valid data.

PHONE NUMBER REQUIRED Please fill out this field. Please enter a phone number.

EMAIL REQUIRED Please fill out this field. Please enter an email address.

IS THIS YOUR FIRST CHILD? Yes No

WAS YOUR CHILD ADOPTED? Yes No

Both Godparents must be baptized Christians, and at least one Godparent a Confirmed Catholic.

GODFATHER'S FIRST, MIDDLE, & LAST NAME REQUIRED Please fill out this field. Please enter valid data.

GODFATHER'S DATE OF BIRTH REQUIRED Please fill out this field. Please enter a date.

CHURCH NAME & TOWN/STATE WHERE GODFATHER WAS BAPTIZED REQUIRED Please fill out this field. Please enter valid data.

WAS THE GODFATHER CONFIRMED? Yes No

CATHOLIC CHURCH NAME & TOWN/STATE WHERE GODFATHER WAS CONFIRMED Please enter valid data.

GODMOTHER'S FIRST, MIDDLE, AND LAST NAME REQUIRED Please fill out this field. Please enter valid data.

GODMOTHER'S DATE OF BIRTH REQUIRED Please fill out this field. Please enter a date.

CHURCH NAME & TOWN/STATE WHERE GODMOTHER WAS BAPTIZED REQUIRED Please fill out this field. Please enter valid data.

WAS THE GODMOTHER CONFIRMED? Yes No

CATHOLIC CHURCH NAME & TOWN/STATE WHERE GODMOTHER WAS CONFIRMED Please enter valid data.