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 Alabama Alaska Arkansas Arizona California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming State/Province Zip/Postal Zip/Postal Home Address * Home Address Home Address Home Address City City State/Province Alabama Alaska Arkansas Arizona California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming 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. If you are human, leave this field blank. Submit
