Please submit this form six weeks prior to the date you would like to have the baptism to allow time for scheduling

Baptism Registration

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Child's Name as it will appear on the Baptism Certificate(Required)
Address(Required)
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Gender(Required)

Parent Information

Father's Complete Name(Required)
Mother's Complete Maiden Name(Required)
Marital Status(Required)
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Address of Current Parish if not St. John the Evangelist

Godparent Information

Godparent's Complete Name(Required)
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Additional Godparent's Complete Name
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Is either Godparent Represented by a Proxy?(Required)
Sacraments of Baptism, Eucharist, and Confirmation Completed?(Required)
Address of that church(Required)
Was the Child Previously Baptized?(Required)
Are you Presently Registered at St. John the Evangelist?(Required)
Are You Requesting a Specific Priest to Perform the Baptism?(Required)
This field is for validation purposes and should be left unchanged.