Baptism date requested (if required):
Sunday, January 12, 2020Sunday, January 19, 2020Sunday, February 16, 2020Sunday, March 15, 2020Sunday, March 29, 2020Sunday, April 19, 2020Sunday, April 26, 2020Sunday, May 3, 2020Sunday, May 17, 2020Sunday, June 7, 2020Sunday, June 21, 2020

Parents Class date requested (if required):
Saturday, April 4, 2020Thursday, April 16, 2020Thursday, May 7, 2020Saturday, May 23, 2020Saturday, June 13, 2020Thursday, June 18, 2020

Number attending class:

Person/Child to be Baptized:

Name of Person/Child (first, middle, last):

Sex: FemaleMale

Date of Birth: 12345678910111213141516171819202122232425262728293031 JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember 2016201720182019202020212022202320242025

City of Birth:

Father Information:

Name of Father (first, last)*:

Is the Father Catholic?*: YesNo

Mother Information:

Maiden Name of Mother (first, maiden name)*:

Is the Mother Catholic?*: YesNo

Address*

City, State, Zip Code*

Phone Number*

Email *:

Godfather Info:

Name of Godfather:*

Is the Godfather Catholic?: YesNo

If not Catholic, what faith is the godparent?

Godmother Info:

Name of Godmother: *

Is the Godmother Catholic?*: YesNo

If not Catholic, what faith is the godmother?

General Info:

Are you a registered member of Holy Name Cathedral Parish?* YesNo

How many guests do you expect?*

Was the child privately Baptized?* YesNo

Were the parents married by a priest or a deacon?* YesNo

Does the child have any siblings?* YesNo

Comments or Questions: