Baptism Registration Form Baptism Registration Full Name of Child: Child #:Please indicate if this is your first, second, third, etc. child.Full Address (Street, City, State, Zip Code): Primary Phone #: Email Address: Child's Date of Birth: Child's City & State of Birth: Name of Father: Father's Religion: Mother's Name: Mother's Maiden Name: Mother's Religion Are the parents married? Yes No Did a Catholic priest officiate the wedding? Yes No Are the parents registered members of Immaculate Conception Church? Yes No Godfather's Name: Godfather's Religion: Please note, at least one of the Godparents must be Catholic.Is the Godfather Confirmed? Yes No Godmother's Name: Godmother's Religion: Please note, at least one of the Godparents must be Catholic.Is the Godmother Confirmed? Yes No Is either of the godparents a registered member of Immaculate Conception? Yes No * If you answer no, a sponsor certificate must be provided from the Church where they are registered.Have you attended a Baptism Class? Yes No EmailThis field is for validation purposes and should be left unchanged. Δ
