Baptism Baptism Information Form Baptismal info Name of Child (First, Middle, Last - as it appears on birth certificate) * Male/Female Male Female Child's Birth Date MM DD YYYY Place of Birth (City and State) Father's Full Name Father's Religion Mother's Full Name Mother's Maiden Name Mother's Religion Address Address 1 Address 2 City State/Province Zip/Postal Code Country Email * Phone (###) ### #### Are you Parishioners at Holy Trinity Yes No Are you married Yes No Married in the Catholic Church Yes No If married in the Catholic Church, name of church and location If married civilly (outside the Catholic Church), location of marriage. Godfather's Name First Name Last Name Is Godfather a practicing Catholic? Yes No Godmother's Name First Name Last Name Is Godmother a practicing Catholic Yes No Will Godparents be present at baptism? Yes No Any prior baptisms due to health emergency? Yes No Was the child adopted Yes No Why do you desire to have this child baptized? Name By my signature, I certify the information I provided on and in connection with this form is true and correct to the best of my knowledge. First Name Last Name Date MM DD YYYY Thank you!
