Baptism Registration Form Baptism Registration Form Child(ren) to be Baptized – please use ADD button for multiple Child’s Full Name * Child's Full Name Child's Full Name Child's Full Name Child's Full Name Date of Birth * Gender * Male Female Place of Birth * plus1 Add minus1 Remove Home Address * Home Address Home Address Home Address Home Address Home Address State AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Home Address Cell Phone Number * Email address * Was the child baptized privately in a hospital or elsewhere? * YES NO Birth Father’s Name * Birth Father's Name Birth Father's Name Birth Father's Name Birth Father's Name Father’s Religion * Please select oneRoman CatholicOther Birth Mother’s Name * Birth Mother's Name Birth Mother's Name Birth Mother's Name Birth Mother's Name Mother’s Maiden Name * Mother’s Religion * Please select oneRoman CatholicOther Married * YES NO Are you a registered parishioner of St. Clare of Assisi Parish? * YES NO UNSURE Join Our Parish Parishioner verification Church Attendance * Regular Occasionally Seldom Godparent(s) – you may have up to 2 Godparents. Please used ADD button to add second Godparent. Godparent’s Full Name * Godparent's Full Name Godparent's Full Name Godparent's Full Name Age * Email * Do you know the Religion of your Godparent? * Yes No I understand this person will only stand as a Witness to the Baptism and I will still need a Fully Initiated Catholic as a Godparent. Godparent’s Religion * Please select oneRoman CatholicOther Did this Godparent receive the Sacraments of Initiation: Baptism, First Eucharist & Confirmation? * YES NO I understand if this Godparent has not received the Sacraments of Initiation as a Roman Catholic they will only be able to stand us as a Christian Witness and I will still need at least one Fully Initiated Catholic to be a Godparent Is this Godparent Registered at St. Clare of Assisi Parish? * Yes No Name of Church Godparent is registered at – please list full name, city & state * I understand this Godparent will need to obtain a signed and sealed Sacramental Sponsorship Certificate from their home Parish. Godparents registered here at St. Clare of Assisi can come into the office to get this completed. * YES I understand this Godparent will need to obtain a Letter of Good Standing from their Church if possible to stand as a Christian Witness to the Baptism. I also understand I will still need the second Godparent to be a Fully Initiated Catholic. * YES plus1 Add minus1 Remove Siblings – please use ADD button to input additional children Child’s Name Child's Name Child's Name Child's Name Age plus1 Add minus1 Remove Suggested Baptism Donation * Parish Office Use Only Day/Date of Baptism Time of Baptism Location Presider Copy to Priest/Deacon to contact/follow up Family Registered; ID# Sponsors Eligibility Rc’d Baptismal Cert prepared If you are human, leave this field blank. Submit Δ Share this:TwitterFacebookLike this:Like Loading...