Baptism Request


Registered in this parish?
Home Address
Mailing Address (if different from above)
Marital Status
Please let us know the name and location of the church or if you were married in a civil ceremony.
Primary Phone
Secondary Phone Number


Child's Name


At least one godparent must be Catholic and have received the Sacrament of Confirmation.  Please note that only one godparent is required for the Sacrament of Baptism.
Godfather Name
Is godfather a confirmed Catholic?

Religious Affiliation

Godmother Name
Is godmother a confirmed Catholic?

Religious Affiliation - Godmother

GODPARENT PROXY (if applicable)

Will either godparent be represented by proxy?

Godparent Proxy Name

Name of Proxy


Classes are usually from 12-1 pm after the 11 am Mass on the fourth Sunday of the month and held in the lower church conference room. During the pandemic, times and location can be fluid. Please fill in which fourth Sunday class you plan to attend before the baptism and our deacon will contact you to confirm day, time, and location. If you have already attended a class for an older child's baptism, please note it in the provided box.

I, as the parent/guardian, acknowledge that this information will be submitted to the parish for use in registration if applicable.