Baptism Registration Form – Saint Andrew Parish

Welcome to St. Andrew Roman Catholic Church. Please fill out the Baptism registration form. If you have any questions regarding this form, please call us at 954-752-3950. Thank you!

"*" indicates required fields

I am completing this registration form*

Do you prefer the Baptism in English or Spanish?*

A baptismal class is required, will you attend the class in English or Spanish?*

Who will be attending the baptismal class?*

Mother

Father

Godmother

Godfather

Please mark all that apply.

Child's Full Name*

Prefix First Middle Last Suffix

Child's Date of Birth*

Age of Child*

Place of Birth: Name of City*

Place of Birth: Name of County*

Place of Birth: State (Name of country if born outside United States)*

Is the child adopted?*

Envelope # (Registered Parishioners Only)

Father's Name*

Prefix First Name Middle Name Last Name Suffix

Mother's Maiden Name*

Prefix First Name Middle Name Maiden Name Suffix

Are the Parents Married?

If Married, where? (Name of Church? City?)

If not married by church - please type civilly)

Parents Address*

Street Address Apartment Number City State ZIP Code

Primary Telephone (Parents)*

Secondary Telephone (Parents)

Parents Email

Godfather's Information

Godfather*

Prefix First Middle Last Suffix

Marital Status*

If Married, where? (Name of Church? City? Country?)*

Please write N/A if not married.

What is the name of the church that the Godfather currently attends?*

Envelope Number (St. Andrew Parishioner only)

Primary Telephone Number (Godfather)*

Secondary Telephone Number

Godmother's Information

Godmother*

Prefix First Middle Last Suffix

What is the name of the church that the Godmother currently attends?*

Marital Status*

If Married, where? (Name of Church? City? Country?)*

Please write N/A if not married.

Envelope Number (St. Andrew parishioner only)

Primary Telephone (Godmother)*

Secondary Telephone

Additional Information

Are Godparents represented by proxy?*

If yes, what are the Proxy names?

Is Baptism at Saint Andrew?*

If not, where? (Please give name of church and location)

Comments

This field is for validation purposes and should be left unchanged.