Baptism Information Form

Childs Name*
First Middle Last
Email*
Phone*
Gender*
Date of Birth
MM slash DD slash YYYY
Father's Name*
First Last
Father's Religion*
Other
Mother's Name*
First Maiden Name Last
Mother's Religion*
Other
Address*
Street Address Address Line 2 City State ZIP Code
Did either parent grow up in Holy Family parish?
Were you married at Holy Family?
Godfather's Name
First Last
Godfather's Religion
Godmother's Name
First Last
Godmother's Religion
Is this your first child to be baptized?
- Yes
- No
Was your child privately baptized (in the hospital or elsewhere)?
- Yes
- No
Was your child adopted?
- Yes
- No