• The maximum number of form submissions has been reached. This form is currently not available.

  • Today's date REQUIRED Please fill out this field. Please enter a date.
  • Email REQUIRED Please fill out this field. Please enter an email address.
  • Phone (h) Please enter valid data.
  • Phone (cell) Please enter valid data.
  • Mailing address REQUIRED Please fill out this field. Please enter valid data.
  • City REQUIRED Please fill out this field. Please enter valid data.

    State REQUIRED AK AL AR AS AZ CA CO CT DC DE FL GA GU HI IA ID IL IN KS KY LA MA MD ME MH MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA PR PW RI SC SD TN TX UT VA VI VT WA WI WV WY Please fill out this field.

    Zip REQUIRED Please fill out this field. Please enter a zip code.
  • Child's Information
    • Child's Full Name REQUIRED Please fill out this field. Please enter valid data.
    • Child's Date of Birth REQUIRED Please fill out this field. Please enter a date.
    • Child's gender REQUIRED Male Female Please fill out this field.
    • Child's city of Birth REQUIRED Please fill out this field. Please enter valid data.
  • Parents of child
    • Father's full name REQUIRED Please fill out this field. Please enter valid data.
    • Father's religion REQUIRED Please fill out this field. Please enter valid data.
    • Mother name with maiden name REQUIRED Please fill out this field. Please enter valid data.
    • Mother's religion REQUIRED Please fill out this field. Please enter valid data.
    • Were parents married in the Catholic church REQUIRED Yes No Please fill out this field.
    • If no, where were you married? Please enter valid data.
    • Are you registered at Holy Family Parish REQUIRED yes no Please fill out this field.
    • If no, where are you registered? Please enter valid data.
    • If a member of another parish, why would you like to have your child baptized here Please enter valid data.
  • Parents Mass attendance
    • Father's Attendance REQUIRED (Select One) Weekly Twice a Month Monthly Seldom Do Not Attend Please fill out this field.
    • Mother's Attendance REQUIRED (Select One) Weekly Twice a Month Monthly Seldom Do Not Attend Please fill out this field.
  • Prospective Godparents
    • Prospective Godfather's name REQUIRED

      see http://www.hfccvic.org/documents/Baptism%20Sponsor%20Reqs.pdf for more information

      Please fill out this field. Please enter valid data.
    • Prospective Godfather's Address REQUIRED Please fill out this field. Please enter valid data.
    • City REQUIRED Please fill out this field. Please enter valid data.

      State REQUIRED AK AL AR AS AZ CA CO CT DC DE FL GA GU HI IA ID IL IN KS KY LA MA MD ME MH MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA PR PW RI SC SD TN TX UT VA VI VT WA WI WV WY Please fill out this field.

      Zip REQUIRED Please fill out this field. Please enter a zip code.
    • Is Prospective Godfather Catholic REQUIRED Yes No Please fill out this field.
    • Name of Parish he is a member of REQUIRED Please fill out this field. Please enter valid data.
    • City REQUIRED Please fill out this field. Please enter valid data.

      State REQUIRED AK AL AR AS AZ CA CO CT DC DE FL GA GU HI IA ID IL IN KS KY LA MA MD ME MH MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA PR PW RI SC SD TN TX UT VA VI VT WA WI WV WY Please fill out this field.

      Zip REQUIRED Please fill out this field. Please enter a zip code.
    • Prospective Godfather's marital status REQUIRED Single Living with someone Married Married in the Catholic Church Please fill out this field.
    • Prospective Godmother's name REQUIRED

      see http://www.hfccvic.org/documents/Baptism%20Sponsor%20Reqs.pdf for more information

      Please fill out this field. Please enter valid data.
    • Prospective Godmother's Address REQUIRED Please fill out this field. Please enter valid data.
    • City REQUIRED Please fill out this field. Please enter valid data.

      State REQUIRED AK AL AR AS AZ CA CO CT DC DE FL GA GU HI IA ID IL IN KS KY LA MA MD ME MH MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA PR PW RI SC SD TN TX UT VA VI VT WA WI WV WY Please fill out this field.

      Zip REQUIRED Please fill out this field. Please enter a zip code.
    • Is Prospective Godmother Catholic REQUIRED Yes No Please fill out this field.
    • Name of Parish she is a member of REQUIRED Please fill out this field. Please enter valid data.
    • City REQUIRED Please fill out this field. Please enter valid data.

      State REQUIRED AK AL AR AS AZ CA CO CT DC DE FL GA GU HI IA ID IL IN KS KY LA MA MD ME MH MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA PR PW RI SC SD TN TX UT VA VI VT WA WI WV WY Please fill out this field.

      Zip REQUIRED Please fill out this field. Please enter a zip code.
    • Prospective Godmother's marital status REQUIRED Single Living with someone Married Married in the Catholic Church Please fill out this field.
  • Date you would like to have your child's baptism Please enter a date.

  Submit