Baptism Scheduling Form

Information on child to be baptised:

Child's FULL LEGAL Name (First Middle Last) REQUIRED Please fill out this field. Please enter valid data.

Child's Gender REQUIRED Female Male Please fill out this field.

Child's Date of Birth (mm/dd/yyyy) REQUIRED Please fill out this field. Please enter a date.

Child's City, State of Birth REQUIRED Please fill out this field. Please enter valid data.

If parents are not married, we require a copy of the birth certificate.

Is this your first child to be baptized? REQUIRED Please fill out this field.

Have you previously attended a Baptism Prep class? REQUIRED Yes No Please fill out this field.

If yes, enter approx date and where taken REQUIRED Please fill out this field. Please enter valid data.

Family Contact Information:

Your Street Address REQUIRED Please fill out this field. Please enter valid data.

City REQUIRED Please fill out this field. Please enter valid data.

State REQUIRED Please fill out this field.

Zip REQUIRED Please fill out this field. Please enter a zip code.

Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Email REQUIRED Please fill out this field. Please enter an email address.

I wish to register my family as members of: REQUIRED Christ the King Parish (St. Agnes & St. Athanasius Churches) We are already members of Christ the King Parish (St. Agnes & St. Athanasius Churches) I am registered at another parish (please enter Home Parish name and city below) Not at this time Please fill out this field.

Your Home Parish's Name and City Please enter valid data.

Comments

Mother's Information

Mother's FULL Name ( First Middle Last) REQUIRED Please fill out this field. Please enter valid data.
Mother's Birthdate
MM/DD/YYYY
Please enter a date.
Mother's Religion REQUIRED Please fill out this field. Please enter valid data.
Mother's Maiden Name REQUIRED Please fill out this field. Please enter valid data.

Father's Information

Father's FULL Name (First Middle Last) REQUIRED Please fill out this field. Please enter valid data.
Father's Birthdate
MM/DD/YYYY
Please enter a date.
Father's Religion REQUIRED Please fill out this field. Please enter valid data.

Are you married? REQUIRED Yes No Please fill out this field.

If parents are not married, we require a copy of the baby's birth certificate.

Were you married in the Catholic Church? REQUIRED Yes No Please fill out this field.

If married in the Catholic Church enter Church name and City: REQUIRED Please fill out this field. Please enter valid data.

Godparent Information - Canon law requires that at least one Sponsor (ie, godparent) be a Confirmed Catholic.

Godmother's Information

Godmother's FULL Name (First Middle Last) REQUIRED Please fill out this field. Please enter valid data.
Godmother's Religion REQUIRED Please fill out this field. Please enter valid data.
Is Godmother a Confirmed Catholic? REQUIRED Yes No Please fill out this field.

Godfather's Information

Godfather's FULL Name (First Middle Last) REQUIRED Please fill out this field. Please enter valid data.
Godfather's Religion REQUIRED Please fill out this field. Please enter valid data.

Is Godfather a Confirmed Catholic? REQUIRED Yes No Please fill out this field.

Information on the Parent Baptism Meeting

If this is your first child to be baptized, a Parent Meeting is required prior to the Baptism. Parent Meetings are held in the St. Agnes Lower Church. If you have a child baptized within the last 3 years, a Parent Meeting is not required.
Follow this link for Parent Meeting dates: Click here for Parent Meeting Dates

Any additional Information you wish us to know?