Application for Baptism

SAINT CLARE OF ASSISI CATHOLIC CHURCH
225 Seven Farms Drive, Suite 100
Daniel Island, SC 29492
843.471.2121

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 for Baptism.

Baptisms take place at 12:15 p.m., after the 11:00 a.m. on the first or third Sunday of the month, except during Lent and in July. Father West's work schedule allows only for July 23.

Starting in May, we will be in the new church, God willing.

Desired Date for Baptism.

Baptisms take place at 12:15 p.m., after the 11:00 a.m. on the first or third Sunday of the month, except during Lent and in July. Father West's work schedule allows only for July 23.

Starting in May, we will be in the new church, God willing. April 16, 2023 May 7, 2023 May 21, 2023 June 4, 2023 June 18, 2023 July 23, 2023 August 6, 2023 August 20, 2023 September 3, 2023 September 17, 2023
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 (e.g. with dispensation)?

Were the parents married by a Catholic priest or deacon or within the jurisdiction of the Catholic Church (e.g. with dispensation)? Yes No
Home Address Home Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
How long have you lived at 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. 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. 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.
(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.
Father's Signature

Draw or Type

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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.