Application for Baptism

SAINT CLARE OF ASSISI CATHOLIC CHURCH

OFFICES: 225 Seven Farms Drive, Suite 100, Daniel Island

CHURCH: 990 Etiwan Park Street, Daniel Island (no mail to this address)

Today's Date Today's Date / MM / DD YYYY
CHILD
Child's Full Name Child's Full Name First Middle Last
Child's Gender (if born or already known)

Child's Gender (if born or already known) Male Female
Child's Date of Birth (if born) Child's Date of Birth (if born) / MM / DD YYYY
City and State of Birth

If your child has been born, this information is required.
Is this child adopted?
Is this your first child to be baptized? If "YES," please copy the link below and fill out a Baptism Prep Class registration form.

https://web4u.forms-db.com/view.php?id=1097282
DESIRED DATE OF BAPTISM
Baptisms are typically celebrated at 12:10 p.m., immediately following the 11:00 a.m. Mass, and are generally scheduled on the first Sunday of each month.

Please note the following exceptions:

Due to Easter and Father West’s schedule, baptisms will be held on the second Sunday in April and May.

We do not schedule baptisms during Lent.

DESIRED DATE OF BAPTISM
Baptisms are typically celebrated at 12:10 p.m., immediately following the 11:00 a.m. Mass, and are generally scheduled on the first Sunday of each month.

Please note the following exceptions:

Due to Easter and Father West’s schedule, baptisms will be held on the second Sunday in April and May.

We do not schedule baptisms during Lent. November 2, 2025 December 7, 2025 January 4, 2026 February 1, 2026 April 12, 2026 May 10, 2026 June 7, 2026 July 5, 2026 August 2, 2026 September 6, 2026 October 4, 2026 November 1, 2026 December 6, 2026
May we publish your child's and family's names in the bulletin after your child is baptized?

May we publish your child's and family's names in the bulletin after your child is baptized? Yes No
Comments
PARENTS
Father's Full Name Father's Full Name Title First Middle Last Suffix
Father's Religion
Father's Email
Mother's Full Name Mother's Full Name Title First Middle Last Suffix
Mother's MAIDEN Name
Mother's Religion
Mother's Email
Who should be the primary contact regarding the Baptism?

Who should be the primary contact regarding the Baptism? Father Mother
Primary contact's best telephone number Primary contact's best telephone number - ### - ### ####
Were the parents married by a Catholic priest or deacon or within the jurisdiction of the Catholic Church elsewhere (with dispensation from a Catholic bishop)?

Were the parents married by a Catholic priest or deacon or within the jurisdiction of the Catholic Church elsewhere (with dispensation from a Catholic bishop)? Yes No
Home Address Home Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
When did you move to this address?
Name and city of parish prior to Saint Clare of Assisi
GODPARENTS
Requirements for Godparents
The role of Godparent is a serious obligation. The Godparent is to live his or her life faithfully and actively as a Catholic Christian. He or she should serve as a role model for the child and be well formed in the Catholic faith. There may be two Godparents per child, one male and one female, or there may be only one Godparent. To qualify, a Godparent candidate must meet these requirements: (1) be a Catholic who has received the sacraments of Baptism, Eucharist and Confirmation; (2) be at least 16 years of age on the date of the child's baptism; (3) be registered and actively participating in a Catholic parish where he or she resides and be able to provide written certification from the pastor of that parish; (4) if married, was married within the jurisdiction of the Catholic Church; (5) not be the mother or father of the child; (6) attend or recently have attended a baptism preparation class for godparents. Verification from the parish is required. Baptized Christians of other traditions are welcome to serve as Christian witnesses but do not have an official status in the baptism. The witness need only be baptized. No certification is required. Catholics may not serve as Christian Witnesses. If a Godparent cannot be physically present for the baptism, he or she may be represented by a proxy, someone whom he or she appoints. The proxy may be any person who has personal understanding of the Godparent's intentions to serve as a Catholic role model for the child.
Catholic Godfather's Name Catholic Godfather's Name Title First Middle Last Suffix
Catholic Godfather's Parish Name, City and State
Will the Godfather be represented by a proxy?

Will the Godfather be represented by a proxy? Yes No
Name of Godfather's proxy (if applicable)
Catholic Godmother's Name Catholic Godmother's Name Title First Middle Last Suffix
Catholic Godmother's Parish Name, City and State
Will the Godmother be represented by a proxy?

Will the Godmother be represented by a proxy? Yes No
Name of Godmother's proxy (if applicable)
Christian Witnesses are baptized persons of a Christian tradition other than the Catholic Church. The Christian Witness is a person honored by the family for his/her Christian discipleship. The Christian Witness is not a Godparent as only persons professing and living the Catholic faith are eligible to be a Godparent. The Christian Witness is invited to stand with the family at the celebration of the Baptism. Catholics may not serve as Christian Witnesses.
(Optional) Name of Christian Witness One (Optional) Name of Christian Witness One Title First Last Suffix
Witness One Religion
(Optional) Name of Christian Witness Two (Optional) Name of Christian Witness Two Title First Last Suffix
Witness Two Religion
Special requests or considerations
We joyfully request the Sacrament of Baptism for our child and promise to form our child as a disciple of Jesus Christ by raising our child in the Roman Catholic Church. We promise to be faithful to Sunday Mass by keeping holy the sabbath as commanded by God in the present and the future.
Father's Signature

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.
Mother's Signature

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.
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Application for Baptism

Application for Baptism

CHILD

PARENTS

GODPARENTS

We joyfully request the Sacrament of Baptism for our child and promise to form our child as a disciple of Jesus Christ by raising our child in the Roman Catholic Church. We promise to be faithful to Sunday Mass by keeping holy the sabbath as commanded by God in the present and the future.