BAPTISMAL FORM

Welcome to Baptism!

Baptism Check List / Registration

TODAY'S DATE (Baptism Form)

NOTE: Letter from the church you are registered with, giving us permission to baptize the baby.

NOTE: Both parents are asked to take a Baptism Preparation Class. Please contact the Parish Office.

Date Both Parents Took Baptismal Class

Where we took the Baptismal Class.

Proposed Baptism Date

NOTE: This desired baptism date will be verified by the Parish Secretary.

NOTE: This Must Be Full Legal Name of Baptismal Candidate.

First Name

Middle Name (If any)

Last Name

Enter Candidate's Birth Date

Place of Birth

First Name Father

Last Name

Phone

Address

I Am a Member Of . . .

First Name Mother

Last Name

Phone

I Am a Member Of . . .

First Name Godfather

Last Name

First Name Godmother

Last Name

Thanks for registering!

Disciples of the Mission

Area Catholic Community (ACC)