Infant/ Child Application for the Sacrament of Baptism

Dear Parents: We are delighted that you are choosing to have your child baptized and are making a commitment to raise your child as a Catholic Christian. We will do all we can to assist you. The following information is necessary for our Church records and is confidential. Please read this form carefully, and if you have questions, call the Parish Office at 989-835-6777. Thank you.

Family Name

Today's Date

Contact Information

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Father's Phone

Mother's Phone

Preferred Email

Are parents registered at Blessed Sacrament Parish?

Child to be Baptized

Gender of child

Name

First Middle Last

Date of Birth

City/State of child's birth

Has the child been baptized previously?

Where was the child previously baptized?

Is the child adopted?

Please note, that if the child is adopted, legal documentation is required.

Parent Information

Father's Name

First Last

Birthdate

Religion

Parish where father was baptized:

Father attends Mass regularly:

Mother's Name

First Last

Maiden Name

Birthdate

Parish where mother was baptized:

Religion

Mother attends Mass regularly:

Parents Statement of Intent:

As parents, it is our intention to attend weekly Mass and practice our Catholic Christian faith. We will share in the life of the Church and create an atmosphere that will encourage our family members to love and appreciate their faith. By signing below, I certify that all information provided on this form is true and correct, and I hereby give permission for the baptism of the above named child in the Catholic Church.

Signature of Parent

Date

Baptism Preparation

Date of the class you attended or will be attending?

Godparent Information

Baptism godparents are a sign of the whole Church’s concern for your family. Godparents are to be faith role models for your child, and as such, will promise during the baptism ceremony to help you with raising your child in the Catholic faith. A godparent is required to be Catholic and may not be the parents of the child. Godparents must be at least sixteen years of age and actively living their faith.Only one godparent is required, but two are permitted.A non-Catholic Christian who is actively living their Christian faith may be a witness to your child’s baptism along with a Catholic godparent.

Name of Godparent

First Middle Last

Date of Birth

Parish where you practice your faith:

*One (1) godparent is required to be a practicing Catholic.

I would like to add:

Name

First Middle Last

Date of Birth

Parish where you practice your faith:

Name

First Middle Last

Gender:

In what denomination were you baptized?

Name of Church

Address of Church

Street Address Address Line 2 City State ZIP Code

Name

This field is for validation purposes and should be left unchanged.