Baptism Application

Child's Information

Child's Name(Required)

First Middle Last

Date of Birth(Required)

MM slash DD slash YYYY

Age(Required)

Gender(Required)

Girl

Boy

City of Birth(Required)

State of Birth(Required)

Country of Birth(Required)

Father's Information

Father's Name(Required)

First Middle Last

Father's Phone(Required)

Father's Email(Required)

Father's Religion(Required)

Sacraments Received (select any)(Required)

Baptism

First Communion

Confirmation

Catholic Marriage

None

At least one parent must be baptized Catholic and be able to submit his or her baptism certificate.

Mother's Information

Mother's Name(Required)

First Middle Last

Mother's Phone(Required)

Mother's Email(Required)

Mother's Religion(Required)

Sacraments Received (select any)(Required)

Baptism

First Communion

Confirmation

Catholic Marriage

None

At least one parent must be baptized Catholic and be able to submit his or her baptism certificate.

Family Address(Required)

Street Address Unit/Suite/Apt City State ZIP / Postal Code

Are the Parents married by the Catholic Church?(Required)

Yes

Married civilly only

Not married/divorced

Are the Parents registered parishioners of HRSR?(Required)

Yes (we have a family number)

Registered at another Parish

Not registered at any Parish

Godparent #1 Information

An eligible Godparent must be a practicing Catholic and have all three Sacraments of Initiation (Baptism, First Communion, and Confirmation). Must be married by the Catholic Church, if married. Must be 16 or older. At least one Catholic Godparent is required. Godparent is required to submit the Godparent’s Sponsor Form complete, signed, and sealed by the Pastor/Administrator of the church where Godparent is registered and attends mass.

Godparent's Name(Required)

First Middle Last

Registered Parish(Required)

If not registered in any parish, please put N/A. An eligible Godparent must be a practicing Catholic.

Does Godparent #1 have all three Sacraments of Initiation (Baptism, First Communion, and Confirmation)?(Required)

Yes

If the answer is NO, he or she is not an eligible Godparent.

Is Godparent #1 married by the Catholic Church?(Required)

Yes

No (married civilly)

Single/Widow/Widower/Divorced

If the answer is NO, he or she is not an eligible Godparent.

Is there another eligible Catholic Godparent?(Required)

Yes

Godparent #2 Information

An eligible Godparent must be Catholic and have received all Sacraments (Baptism, First Communion, and Confirmation). Must be married by the Catholic Church. Must be 16 or older. At least one Catholic Godparent is required.

Name(Required)

First Middle Last

Registered Parish(Required)

If not registered in any parish, please put N/A. An eligible Godparent must be a practicing Catholic.

Does Godparent #2 have all three Sacraments of Initiation (Baptism, First Communion, and Confirmation)?(Required)

Yes

If the answer is NO, he or she is not an eligible Godparent.

Is Godparent #2 married by the Catholic Church?(Required)

Yes

No (married civilly)

Single/Widow/Widower/Divorced

If the answer is NO, he or she is not an eligible Godparent.

Additional Information:

Please provide this additional information to help us expedite the process:(Required)

Please complete this section if the Parents or the Godparents received any Sacraments of Initiation (Baptism, First Communion, and Confirmation) at HRSR. If the Parents have baptized other children at HRSR, please provide this additional information. If the Parents got married a HRSR, please provide this additional information. Otherwise, N/A.

Language and Date

In what language do you prefer the ceremony?(Required)

Do you have a date in mind?(Required)

MM slash DD slash YYYY

Our baptisms are on certain SUNDAYS of the month at 2:00 pm. We only confirm the date after Parents and Godparents meet all requirements. We will do our best to accommodate your request.

Terms and Conditions

These are the requirements. 1) A clear copy of the child’s birth certificate. The hospital birth record won’t be accepted. 2) A legible copy of the Parent’s Catholic baptism certificate (at least one parent). 3) A copy of the Father and the Mother’s photos IDs. 4) The Godparent’s Sponsor Letter completed, signed, and sealed by the Pastor/Administrator of the church in which the Godparent is registered and attend mass. 5) The baptismal online course certificate of completion by the Parents and the Godparents. 6) Meeting with the Deacon or the Priest. 7) The Baptism donation (suggested $300).

Scheduling Agreement(Required)

I understand

We reserve the right to postpone or cancel the scheduled baptism ceremony contingent on the parents
and the godparents meeting all the requirements in a timely manner.

True and Correct Clause(Required)

I understand

We hereby declare that the information provided is true and correct. We also understand that any willful dishonesty may be rendered for the refusal of this application. Furthermore, we hereby certify that we wish our child to be brought up as a Roman Catholic.

Father's Name(Required)

First Middle Last

Father's Signature(Required)

Date(Required)

MM slash DD slash YYYY

Mother's Name(Required)

First Middle Last

Mother's Signature(Required)

Date(Required)

MM slash DD slash YYYY

CAPTCHA

Name

This field is for validation purposes and should be left unchanged.