Child Baptism Inquiry Form • St. Hilary Church

Today's Date *

First Name *

Last Name *

Maiden Name *

Email Address *

Home Address Line 1 *

Home Address Line 2

City *

State *

Zip Code *

Are the home address and mailing address the same? *

Mailing Address Line 1 *

Mailing Address Line 2

City *

State *

Zip Code *

Mobile Number *

Mother's Religion *

If you checked "Other Religion," please describe your religious affiliation

Father's First Name *

Father's Last Name *

Father's Email Address *

Is the Father's home address the same as the Mother's? *

Father's Address Line 1 *

Father's Address Line 2

City *

State *

Zip Code *

Father's Mobile Number *

Father's Religion *

If you checked "Other Religion," please describe your religious affiliation

Child's First Name *

Child's Middle Name

Child's Last Name *

Child's Preferred Name *

Child's Date of Birth *

Child's Age *

Child's Place of Birth (City & State) *

What is the Father and Mother's Current Marital Status? *

Place of Marriage (If applicable)

Please describe your current practice of the Catholic faith *

How often do you attend church on Sundays? *

Do you intend to raise your child in the practice of the faith? *

Please describe how you will raise your child in the faith (e.g., church attendance, pray at home, Catholic school, religious education classes, etc.) *

Are there two godparents? *

Full Name of Godparent *

Religion of Godparent *

Eligibility of Godparent *

At least 16 years of age

Baptized Catholic

Received the sacraments of First Communion & Confirmation

Married in the Catholic Church

Married Outside the Catholic Church

Divorced or Never Married

Not bound by any canonical penalty

Tip: Check all that apply

Full Name of Godfather *

Religion of Godfather *

Catholic

Non-Catholic Christian

Not Baptized a Christian

Other Religion

Eligibility Requirements of Godfather *

At least 16 years of age

Baptized Catholic

Received the sacraments of First Communion & Confirmation

Married in the Catholic Church

Married Outside the Catholic Church

Divorced or Never Married

Not bound by any canonical penalty

Tip: Check all that apply

Full Name of Godmother *

Religion of Godmother *

Eligibility Requirements of Godmother *

At least 16 years of age

Baptized Catholic

Has received sacraments of First Communion & Confirmation

Married in the Catholic Church

Married Outside the Catholic Church

Divorced or Never Married

Not bound by any canonical penalty

Tip: Select all that apply

Comments

Tip: Tell us about any special requests or needs

Office Use Only - Celebrant Name & Authorization

Office Use Only - Date & Time of Baptism

Office Use Only - Baptism Prep Certificate Received?

Yes

No

Office Use Only - Godparent Self-Certification Received?

Yes

No

Office Use Only - Educational Requirements Completed (if 7 or older) *

Yes

No

Office Use Only - Donation Received?

Yes

No

Office Use Only - Date Recorded in Sacramental Registry

Office Use Only - Date Certificate Mailed

Child Baptism Inquiry

Mother's Information

Father's Information

Child Information

Marital Status of Child's Parents

Practice of Catholicism

God Parent Information

Office Use Only