Register for Baptism

Child's Name (First, Middle, Last) REQUIRED Please fill out this field. Please enter valid data.

Gender REQUIRED Male Female Please fill out this field.

Child's Date of Birth (mm-dd-yyyy) REQUIRED Please fill out this field. Please enter valid data.

Place of Birth (City, State) REQUIRED Please fill out this field. Please enter valid data.

Father's Name (First, Middle, Last Name) REQUIRED Please fill out this field. Please enter valid data.

Mother's Name (First, Middle, Last Name) Please enter valid data.

Mother's Maiden Name Please enter valid data.

Phone number (Area Code - Phone Number) REQUIRED Please fill out this field. Please enter valid data.

Email ([email protected]) REQUIRED Please fill out this field. Please enter valid data.

Address

Street Address, City, State, Zip Code

Are you a St. Mary of the Knobs registered parishioner? REQUIRED Yes No Please fill out this field.

Have you previously participated in Baptismal preparation sessions(s)? REQUIRED Yes No Please fill out this field.

If yes, what Parish? REQUIRED Please fill out this field. Please enter valid data.

Godfather/Witness REQUIRED Please fill out this field. Please enter valid data.

Catholic REQUIRED Yes No Please fill out this field.

If yes, what parish are they registered? REQUIRED Please fill out this field. Please enter valid data.

Godmother/Witness REQUIRED Please fill out this field. Please enter valid data.

Catholic REQUIRED Yes No Please fill out this field.

If yes, what parish are they registered? REQUIRED Please fill out this field. Please enter valid data.

St. Mary of the Knobs Catholic Church