Request for Baptism

Congratulations! The clergy and staff at Sacred Heart Parish are honored to assist you as you prepare for your child's baptism.

Today's date Today's date / MM / DD YYYY
Child's name Child's name First Middle Last
Child's gender

Child's gender Male Female
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Child's date of birth Child's date of birth / MM / DD YYYY
Child's place of birth (city, state, country)
Has the child already been baptized?

Has the child already been baptized? Yes No Not sure
If yes, name, city, state of church
Is the child adopted?

Is the child adopted? Yes No
Will this child be raised in the Catholic faith?

Will this child be raised in the Catholic faith? Yes No
Do you currently attend Mass at a Catholic Church?

Do you currently attend Mass at a Catholic Church? Yes No
If yes, name, city, state of church
How often do you attend Mass

How often do you attend Mass Weekly Most weeks Monthly Occasionally Not at all
Have you ever attended a baptismal class?

Have you ever attended a baptismal class? Yes No Not sure
Father's name Father's name First Middle Last
Father's Phone Father's Phone - ### - ### ####
Father's Email
Father's religion
If Catholic, have you been confirmed?

If Catholic, have you been confirmed? Yes No
Were you married in the Catholic church?

Were you married in the Catholic church? Yes No
Mother's name Mother's name First Middle Last
Mother's Maiden Name
Mother's Phone Mother's Phone - ### - ### ####
Mother's Email
Mother's religion
If Catholic, have you been confirmed?

If Catholic, have you been confirmed? Yes No
Were you married in the Catholic church?

Were you married in the Catholic church? Yes No
Godfather's name Godfather's name First Middle Last
Godfather's religion
If Catholic, was Godfather confirmed?

If Catholic, was Godfather confirmed? Yes No
Is Godfather at least 16 years of age?

Is Godfather at least 16 years of age? Yes No
Is Godfather married?

Is Godfather married? Yes No
If yes, was Godfather married in the Catholic church?

If yes, was Godfather married in the Catholic church? Yes No
Godmother's name Godmother's name First Middle Last
Godmother's religion
Is Godmother Catholic?

Is Godmother Catholic? Yes No
If Catholic, was Godmother confirmed?

If Catholic, was Godmother confirmed? Yes No
Is Godmother at least 16 years of age?

Is Godmother at least 16 years of age? Yes No
Is Godmother married?

Is Godmother married? Yes No
If yes, was Godmother married in the Catholic church?

If yes, was Godmother married in the Catholic church? Yes No