Baptism Registration

Child's Full Name REQUIRED Please fill out this field. Please enter valid data.

Gender Male Female

Date of Birth Please enter valid data.

City of birth REQUIRED Please fill out this field. Please enter valid data.

State of birth REQUIRED Please fill out this field. Please enter valid data.

Father's Name (as it appears on Birth Certificate) Please enter valid data.

Religion

Mother's Name (as it appears on Birth Certificate) Please enter valid data.

Religion

Married Yes No

If Married, wedding date Please enter valid data.

If Married, Church where married Please enter valid data.

Are you a St. Dominic Parishioner Yes No

Address REQUIRED Please fill out this field. Please enter valid data.

City REQUIRED Please fill out this field. Please enter valid data.

State REQUIRED Please fill out this field.

Zip REQUIRED Please fill out this field. Please enter a zip code.

Email REQUIRED Please fill out this field. Please enter an email address.

Phone Number REQUIRED Please fill out this field. Please enter a phone number.

If you are not registered in St. Dominic Parish or do not live within the parish boundaries, you must obtain a letter of permission from the parish where you are registered or whose boundaries you live within in order to have your child baptized at St. Dominic.

Godparents: Only one godparent is required. Godparent(s) must be Catholic AND Confirmed.

If not Catholic and confirmed, but baptized, you would be considered a Christian Witness.

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.

Religion of Godfather

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.

Religion of Godmother

Parents, godparents and Christian witnesses must all attend a baptismal seminar. Please indicate Baptismal seminar attendance:

Attended Baptismal Seminar Mother Father Godmother Godfather Christian Witness

Once this form is received, someone from the St. Dominic Church office will contact you to discuss the documentation requirements for the baptism, seminar options, if necessary, and schedule a date for the baptism.