Baptism Request Form


Upcoming 2020 dates are TBD. Classes are usually from 1-2 pm except in July and August when they are from 11:30 am - 12:30 pm. Please fill in which class you plan to attend before the baptism. If you have already attended a class for an older child's baptism, please note in the provided box.
Is this your first child to be Baptized?
A baptismal preparation meeting is required for all parents who have not had a child baptized previously.  The preparation is required for both parents.  It is recommended but not required for the Sponsors to attend.  Please submit this form and a copy of the child's birth certificate to the Parish Office two weeks before the Baptism to confirm.


Registered in this parish?
Home Address
Mailing Address (if different from above)
Marital Status
Primary Phone
Secondary Phone Number


Child's Name


At least one godparent must be Catholic and have received the Sacrament of Confirmation.  Please note that only one godparent is required for the Sacrament of Baptism.
Godfather Name
Is godfather a confirmed Catholic?

Religious Affiliation

Godmother Name
Is godmother a confirmed Catholic?

Religious Affiliation - Godmother

GODPARENT PROXY (if applicable)

Will either godparent be represented by proxy?

Godparent Proxy Name

Name of Proxy
To be baptized, a child must have at least one godparent, but may have one godfather and one godmother. Are the godparents al least 16 years old of age?
Have the godparents received the sacrament of confirmation?
Are the godparents practicing Catholics?
A person baptized non-Catholic Christian may participate as a Christian witness to the baptism (ONLY) in addition to a Catholic godparent.

Sign above