Registration Form Baptism Registration Form Name of Child to be Baptized Last Name * First Name * Middle Name * Please pick a Patron Saint Name for your Child * Date of Birth * Sex * Male Female Place of Birth * Place of Birth Place of Birth Place of Birth City City State/Province AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State/Province Zip/Postal Zip/Postal Home Address * Home Address Home Address Home Address City City State/Province AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State/Province Zip/Postal Zip/Postal Home Phone * Cell Phone * Email * Father's Information Last Name * First Name * Middle * Roman Catholic? * Yes No Are you Registered at St. James the Apostle? * Yes No Member # Do you attend church regularly? * Yes No Are you baptized? * Yes No What is your religion? * Are you active in your Church? * Yes No Mother's Information Maiden Name * First Name * Middle * Roman Catholic? * Yes No Are you Registered at St. James the Apostle? * Yes No Member # Do you attend church regularly? * Yes No Are you baptized? * Yes No What is your religion? * Are you active in your Church? * Yes No *Note: One parent must be registered at St. James the Apostle Catholic Church, or have your pastor's permission. Please refer to our "Guidelines and Policies for the Sacrament of Baptism." Mother & Father Are you married? * Yes No Were you married according to the form of the Catholic Church? * Yes No Please select who you were married by? * Minister Justice of the Peace Other Godfather's Name Last Name * First Name * Middle Name * Roman Catholic? * Yes No 16 Years of age or older? * Yes No Is he Confirmed? * Yes No Is he active in his Parish? * Yes No Name of Parish * Location * What religion is he? * Given the function and role that a sponsor exercises, a non-Catholic Christian cannot be admitted as a sponsor; however, he or she can be a Christian witness. Godmother's Name Last Name * First Name * Middle Name * Roman Catholic? * Yes No 16 Years of age or older? * Yes No Is she Confirmed? * Yes No Is she active in her Parish? * Yes No Name of Parish * Location * What religion is she? * Given the function and role that a sponsor exercises, a non-Catholic Christian cannot be admitted as a sponsor; however, he or she can be a Christian witness. Submit If you are human, leave this field blank.