Baptism Registration – Mother Seton Catholic Church

Child's Full Name*
First Middle Last
Gender*
Date of Birth*
MM slash DD slash YYYY
City and State of Birth*
Was the child previously baptized, due to an emergency?*
- Yes
- No
Was the child adopted?*
- Yes
- No
Father's Full Name*
First Middle Last
Father's Religion*
Mother's Full Name*
First Middle Last
Mother's Religion*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Email*
Is family registered at Mother Seton?*
- Yes
- No
Were Parents Married by a Catholic Priest/Deacon?*
- Yes
- No
Date of Marriage
Where married:

Parish, City and State
Godfather's Name*
First Middle Last
Religion*
Parish (Include City and State)*
Godmother's Name*
First Middle Last
Religion*
Parish (Include City and State)*
Proxies Name
First Middle Last
Religion
Parish (Include City and State)
Date of Baptism Prep Class:*
Preferred Baptism Date:*
Do you have any questions / needs of which we should be aware?