FORM FOR BAPTISM

Name of Person Baptized_________________________________________________

Date of Birth___________________________________________________________

Place of Birth___________________________________________________________

  Date Date of  Baptism_________________________________________________________

Name of Father:  ________________________________________________________

                                                                                                   Catholic  [  ]          Non-Catholic [ ] 

First name and maiden name of Mother: _______________________________________

                                                                           Catholic  [  ]          Non-Catholic [ ]

Address_______________________________________________________________

Telephone Number_______________________________________________________________
                                                          Sponsors

Sponsor_______________________________________________________________

Proxy___________________________________________________________
            
                                                                          Catholic  [  ]          Non-Catholic [ ] 

Sponsor_______________________________________________________________

Proxy___________________________________________________________

                                                                                                 Catholic  [  ]            Non-Catholic [ ]

Are parents registered in St. Mary’s Parish?       Yes____                     No____

In which parish were the parents married?    ____________________________________

Was the Child baptized privately? ____________________________________________

              (Indicate previous Christening if adult convert)

Did parents attend baptism instructions prior to Baptism?    Yes____     No____

Sacrament administered by _________________________________________________