Baptism Form | St. Joseph The Workers

Today's Date*

Child's Full Name*

First Middle Last

Sex*

Male
Female

Baptism Saint Name*

Baptism By:*

Immersion
Pouring

Date of Birth*

MM

DD

YYYY

Birth City & State*

Father's Full Name*

First Middle Last

Home Phone*

Cell Phone*

Father's Address*

Street Address Address Line 2 City State ZIP Code

Father's Birth Date*

MM

DD

YYYY

Father's Age*

Father's Religion*

Church*

Church Attendance*

Registered at St. Joseph the Worker?*

Yes
No

If not, a letter from the parish you are registered is needed.

Have you previously attended a Baptism Seminar at SJW?*

Yes
No

Mother's Full Name*

First Middle Maiden

Home Phone*

Cell Phone*

Mother's Address*

Street Address Address Line 2 City State ZIP Code

Mother's Date of Birth*

MM

DD

YYYY

Mother's Age*

Mother's Religion*

Church*

Church Attendance*

Registered at St. Joseph the Worker?*

Yes
No

If not, a letter from the parish you are registered is needed.

Have you previously attended a Baptism Seminar at SJW?*

Yes
No

Parent's Married?*

Yes
No

Date of Marriage

MM

DD

YYYY

Performed By:

Place of Marriage

Church, City & State

Name of Godfather (Catholic) or Witness (Non-Catholic):*

First Last

Godfather's Address*

Street Address Address Line 2 City State ZIP Code

Phone*

Baptized?*

Yes
No

What Religion?*

Is he practicing his faith?*

Yes
No

Catholics Only: Confirmed?

Yes
No

Name of Godmother (Catholic) or Witness (Non-Catholic):*

First Last

Godmother's Address*

Street Address Address Line 2 City State ZIP Code

Phone*

Baptized?*

Yes
No

What Religion?*

Is she practicing his faith?*

Yes
No

Catholics Only: Confirmed?

Yes
No