Child Baptism Form – Holy Name Church – Holy Name Catholic Church

Child Baptismal Registration form

Child Baptismal Registration form for Holy Name Church

First Name(Required)

Child's First Name

Middle Name

Last Name(Required)

Child's Last name

Date of Birth(Required)

Date of Child's Birth

Gender(Required)

Male

Female

Child's Gender

Place of Birth(Required)

Child's place of birth (ie. city, town, country, etc.)

Parents

Mother's First Name(Required)

Mother's first name

Mother's Last Name(Required)

Mother's last name

Mother's Maiden Name(Required)

Mother's maiden name

Mother's Religion(Required)

Father's First Name(Required)

Father's first name

Father's Last Name(Required)

Father's last name

Father's Religion(Required)

Father's religion

Church of Marriage

Church of marriage

Place of Marriage

Place of marriage

Marriage Details(Required)

Church

Civil

Common Law

None

Details of marriage

Address

Street Address(Required)

Street address

Address line 2 (if required)

Address line 2

City(Required)

City

Province / State / Region(Required)

Province / State / Region

Postal / Zip code(Required)

Postal / Zip code

Country(Required)

Country

Contact Information

Contact phone number(Required)

Contact phone number

Alternate phone number

Email Address(Required)

Godparents

Godmother(Required)

Godmother

Godmother's Religion(Required)

Godmother's Religion

Godfather(Required)

Godfather

Godfather's Religion(Required)

Godfather's Religion