Schedule a Baptism

Child's Name (First Name, Middle Name, Last Name) REQUIRED Please fill out this field. Please enter valid data.

Child's Date of Birth REQUIRED Please fill out this field. Please enter valid data.

City and State of Child's Birth REQUIRED Please fill out this field. Please enter valid data.

Gender of Child REQUIRED Please fill out this field.

Including the child to be baptized, how many children do you have? REQUIRED Please fill out this field. Please enter an integer (number) from 0 to 15.

Have you attended a baptism preparation class? REQUIRED Please fill out this field.

Father's Name (First Name, Last Name) REQUIRED Please fill out this field. Please enter valid data.

Confirmed Catholic? REQUIRED Yes No Please fill out this field.

If no, please indicate religion of father: Please enter valid data.

Are you aware if the child's father or any relatives are of Eastern Catholic descent? (Ukrainian Catholic, Chaldean, etc.) REQUIRED No, I am not aware. Yes, I am of Eastern Catholic descent. Please fill out this field.

Mother's Name (First Name, Maiden Name, Last Name) REQUIRED Please fill out this field. Please enter valid data.

Confirmed Catholic? REQUIRED Yes No Please fill out this field.

If no, please indicate religion of mother: Please enter valid data.

Are you aware if the child's mother or any relatives are of Eastern Catholic descent? (Ukrainian Catholic, Chaldean, etc.) REQUIRED No, I am not aware. Yes, I am of Eastern Catholic descent. Please fill out this field.

Are you registered members of St. Mary's Parish? REQUIRED Please fill out this field.

If no, to which parish do you belong? Please enter valid data.

Marital Status REQUIRED Married Engaged Single Please fill out this field.

If married, at which Catholic Church were you prepared for marriage? REQUIRED Please fill out this field. Please enter valid data.

At which Catholic Church were you married? REQUIRED Please fill out this field. Please enter valid data.

Mailing Address of Parents REQUIRED Please fill out this field. Please enter valid data.

City REQUIRED Please fill out this field. Please enter valid data.

State REQUIRED Please fill out this field.

Zip REQUIRED Please fill out this field. Please enter a zip code.

Email REQUIRED Please fill out this field. Please enter an email address.

Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Godfather's Name Please enter valid data.

Godfather's Religion Confirmed and Practicing Catholic Non-Catholic

Godmother's Name Please enter valid data.

Godmother's Religion Confirmed and Practicing Catholic Non-Catholic

*If your godparent(s) are not a member of St. Mary's Parish, please have him or her print and fill out the form below. The form can be mailed to or delievered to the parish offices.

Form for Godparents (for non St. Mary's Parishioners)

Requirements for Godparents (Please read)

A Catholic who is at least 16 years old (Canon 874, §1, 2º) and has received the Sacrament of Confirmation and the Sacrament of the Eucharist and who leads an active life of faith.

Be a practicing Catholic who attends Mass and receives the Sacraments regularly.

Knows, understands and participates in the Catholic Church community.
If the godparent is married, the marriage must be valid and recognized as a marriage in the Catholic Church. (Canon 874, §1, 3°).
Only one godfather or one godmother or one of each (Canon 873).
The godparent cannot be the father or mother of the one to be baptized (Canon 874, §1, 5º).
Only with a Catholic godparent can a baptized, non-Catholic person serve as a Christian Witness of the Baptism (Canon 874, §2).

I have read and understand the above listed requirements for Godparent(s) for my child. Please select this field.

Please select a date for baptism

If the date(s) above do not work for you or your family's schedule (for example, godparents are from out of town, etc.) please describe the circumstances and a possible date.