Baptismal Registration Form Baptismal Registration Form If you are human, leave this field blank. Has your child been born yet ? * Yes No When are you expecting the birth of your child ? Child's Information Child's First Name * Child's Middle Name If applicable Child's Last Name * As it is to appear on the baptismal certificate Gender of Child * Male Female Child's Date of Birth * YYYY-MM-DD Child's Place of Birth * Example: London, Ontario, Parents Information Father's Name * Religion of Father * Roman Catholic Anglican United Baptist NO RELIGION OtherOther Mother's Name * Mother's Maiden Name Religion of Mother * Roman Catholic Anglican United Baptist NO RELIGION OtherOther Marriage Information Marital Status of Parents * Married Single Divorced Was it a Catholic Wedding ? * Yes No Place of Marriage * Church or Place, City, & Province/State Date of Marriage Godparents Information Have you already chosen Godparents ? * Yes No Godparents must be at least 16 years of age, have received the Sacrament of Confirmation and be practicing their Catholic faith. You only need one Godparent, but if choosing two - one must be male and one must be female. How many Godparents have you chosen ? * One Two Godfather's Name First & Last Name Godmother's Name First & Last Name Other General Information Have you had a child baptized before ? * Yes No Where did you have a child baptized before ? Name of Church, City, Province/State Do you have any other children ? * Yes No Names & Ages of other children * Contact Information Contact Name * Address * Address Address Address City City State/Province State/Province Zip/Postal Zip/Postal Country Afghanistan Aland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bonaire, Sint Eustatius and Saba Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Cook Islands Costa Rica Côte d'Ivoire Croatia Cuba Curacao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Holy See Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Isle of Man Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati North Korea South Korea Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda Saint Barthelemy Saint Helena, Ascension and Tristan da Cunha Saint Kitts and Nevis Saint Lucia Saint Martin (French part) Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten (Dutch part) Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Virgin Islands, British Virgin Islands, U.S. Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe Country Phone Number * Email Address * Enter Email Confirm Email Address * Confirm Email How many people in total do you expect at the celebration? (estimate) * reCAPTCHA Submit
