Baptism Registration

Child's Name*

First Middle Last

Gender of Child to be Baptised*

Male
Female

Child's Date of Birth*

Child's City of Birth*

Address*

Street Address Address Line 2 City State ZIP / Postal Code

Phone*

Parent Email*

Enter Email Confirm Email

Father's Name*

First Middle Last

Father's Religion*

Mother's Name*

First Middle Maiden Name

Mother's Religion*

Church/Place of Marriage*

I understand the below text regarding Church Law*

YES

CHURCH LAW requires that a candidate for Baptism/Membership in the Church community be sponsored by a fully initiated Catholic (Baptism, Confirmation, Eucharist) who leads a life of faith consistent with the function being assumed. The sponsor must be at least sixteen (16) years of age. There is to be only one male sponsor or one female sponsor or one of each. The godparent should have the aptitude and intention of carrying out the function of helping the child grow and develop in the Catholic Faith. A “Christian Witness,” that is, a baptized non-Catholic in good standing, is permitted at baptism as long as he or she witnesses the baptism along with the godparent who fulfills the requirements listed above. The sponsor may not be the father or mother of the one baptized. Parents are required to fulfill the parish program concerning the preparation for Baptism.

Godfather's Name*

First Last

Godfather's Religion*

Godmothers's Name*

First Last

Godmother's Religion*

Date of Baptism Class*

Please indicate if you have attended the baptism class at St. Agatha. If not, when do you plan on attending? It is on the third Sunday of MOST months after the 11 a.m. Mass. Church office will call to confirm date!

Possible Date for Baptism*

2nd or 4th Sunday of MOST months after the 11 a.m. Mass. Church office will call to confirm date!

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