St. Patrick Catholic Church

Register for Baptism Class

Class is required for the first child only.

Parish where you are registered

Name of child to be baptized (first, middle and last)

Child's date of birth

City and state of birth

PARENT INFORMATION

Father's name (first and last)

Mother's name (first and last)

Father's religion

Mother's religion

Address (city, state, zip)

Home phone

Cell phone

Email:

Parents' marital status

Married

By a priest

By a minister

By a justice of the peace

Other

Sponsor Information

Sponsor Information

1) Sponsor: name and address

1 Sponsor's religion

2) Sponsor: name and address

2 Sponsor's religion