Baptism Registration Form

We welcome all families wishing to pass on the faith to their children. Please provide the information below to help us prepare for your child's Baptism.

Child Information

Child's Last Name REQUIRED Please fill out this field. Please enter valid data.
Child's First and Middle Names
This may be left blank of the baby has not yet been born
Please enter valid data.
Child's Gender Male Female
Child's Race Asian Black Hispanic Native American White Other
Birthdate (or due date) of child REQUIRED Please fill out this field. Please enter a date.
Place of Birth REQUIRED Please fill out this field. Please enter valid data.
Street Address REQUIRED Please fill out this field. Please enter valid data.
City REQUIRED Please fill out this field. Please enter valid data.

State REQUIRED Please fill out this field.

Zip REQUIRED Please fill out this field. Please enter a zip code.
Mother's Email REQUIRED Please fill out this field. Please enter an email address.
Mother's Phone Number REQUIRED Please fill out this field. Please enter a phone number.
Father's Email REQUIRED Please fill out this field. Please enter an email address.
Father's Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Are you a registered member of Holy Infant Catholic Church? REQUIRED

If you are not a registered member, please contact the Faith Development Office.

Yes No Please fill out this field.

Upcoming Baptism Workshop Dates REQUIRED

Parents are expected to attend a Baptism Preparation Workshop prior to the Baptism of their child. Select the date you will attend or indicate that you have attended a workshop in the past three years.

July 10, 2021 September 11, 2021 November 13, 2021 January 8, 2022 March 12, 2022 May 14, 2022 I have attended a workshop within the past three years. Please fill out this field.

Parent Information

Mother's Full Name REQUIRED Please fill out this field. Please enter valid data.
Mother's Maiden Name REQUIRED Please fill out this field. Please enter valid data.
Mother's Religion REQUIRED Please fill out this field. Please enter valid data.
Father's Full Name REQUIRED Please fill out this field. Please enter valid data.
Father's Religion REQUIRED Please fill out this field. Please enter valid data.
Marital Status REQUIRED
Check one.
Parents are married in the Catholic Church (married by a Catholic priest/deacon or with the Catholic Church's permission) Parents are legally married, but outside the Catholic Church. Parents are not married. Please fill out this field.
Date of Marriage (if married) Please enter a date.
Place of Baptism REQUIRED We would like to have our child baptized at Holy Infant. We plan to have our child baptized in another parish. Please fill out this field.
If you plan to have your child baptized at another parish, please give the name and address of the parish.

Godparent Information

Godparent information may be submitted after the Baptism Preparation Workshop. Please read the Godparent Roles and Responsibilities. Godparents or Christian witnesses must provide a letter from his/her church verifying eligibility to serve in this role.

Godmother's (Sponsor) Full Name Please enter valid data.

Godmother's (Sponsor) Religion Please enter valid data.

Godfather's (Sponsor) Full Name Please enter valid data.

Godfather's (Sponsor) Religion Please enter valid data.