Baptism Registration Form Name of Child(Required) First Middle Last Date of Birth(Required) MM slash DD slash YYYY City and State of Birth(Required) Was the child adopted?(Required) Yes No Was the child privately baptized?(Required) Yes No Father's Name(Required) First Last Father's Religion(Required) Mother's Name(Required) First Maiden Last Mother's Religion(Required) Were the Parents Married in the Catholic Church?(Required) Yes No Godfather's Name(Required) First Last Godfather's Religion(Required) Godmother's Name(Required) First Last Godmother's Religion(Required) Will either Godparent be represented by Proxy?(Required) Yes No Name of Proxy 1 (if applicable) First Last Name of Proxy 2 (if applicable) First Last
