Baptism Registration Form

Child Information
Date of Birth *
Date of Birth
Parent Information
Father's Name *
Father's Name
Mother's Name (Maiden Name) *
Mother's Name (Maiden Name)
Home Address *
Home Address
Phone *
Phone
Is this your first child? *
Is the child adopted? *
Has the child been previously baptized? *
Will the child be raised Catholic? *
Requested date of baptism *
Requested date of baptism
Usually Baptisms are scheduled on third Saturdays at 11 am. During the seasons of Lent and Advent all Baptisms are on the third Sunday of the month at 2:30 pm. If a time outside of these is necessary, one may be requested, but we cannot guarantee availability. For Extraordinary Form Baptisms, please contact the parish office.
Godparent Information
Godfather's Name *
Godfather's Name
Only one Godparent is required; simply put "N/A" for other Godparent if needed.
Please note that Godparents (and proxies) must be confirmed Catholics.
If Godparent is not a parishioner at Holy Rosary, please provide a letter from the pastor of their home parish stating that he or she is a registered parishioner.
Godfather's Proxy (if needed)
Godfather's Proxy (if needed)
Please note that proxies must be confirmed Catholics.
Godmother's Name *
Godmother's Name
Only one Godparent is required; simply put "N/A" for other Godparent if needed.
Please note that Godparents (and proxies) must be confirmed Catholics.
If Godparent is not a parishioner at Holy Rosary, please provide a letter from the pastor of their home parish stating that he or she is a registered parishioner.
Godmother's Proxy (if needed)
Godmother's Proxy (if needed)
Please note that proxies must be confirmed Catholics.
Please note that there is a suggested donation of at least $25 for each baptism, payable to Holy Rosary Priory.