EmailMe Form - Baptism Registration form

Today's Date *
MM / DD / YYYY
Child's Name *

First

Middle

Last
Residence *

Street Address City State / Province / Region Postal / Zip Code
Phone *
### - ### - ####
Email *
Date of Birth *
MM / DD / YYYY
City of Birth *
DATE OF BAPTISM: Contact the office for available dates (706.543.2293)
PARENT'S INFORMATION
Father's Name *

First

Middle

Last
Religion of Father *
Mother's Name *

First

Middle

Maiden
Religion of Mother *
Were the parents married by a Catholic priest or deacon? *
Yes
No
GODPARENTS INFORMATION
NOTE: Canon law requires that ONE Godparent be a Catholic in good standing. Also, if the Catholic Godparent is not a Catholic Center member, a letter from his or her respective parish stating that he/she is an active member is required.
Godfather's Name *

First

Middle

Last
Is the Godfather a Catholic? *
Yes
No
Is the Godfather a registered member of the Catholic Center? *
Yes
No
Godmother's Name *

First

Middle

Last
Is the Godmother a Catholic? *
Yes
No
Is the Godmother a registered member of the Catholic Center? *
Yes
No
Is either Godparent represented by a Proxy? *
Yes
No
Name of the Proxy
First Last
OTHER INFORMATION
Was the child privately baptized? *
Yes
No
Was the child adopted? *
Yes
No
Infant Baptism class attended *
MM / DD / YYYY
Do you wish the child baptized during or after Mass? *
During Mass
After Mass
Which Mass? *
How many pews should we reserve? *
It is customary to give the Celebrant an offering for performing the Baptism.