Baptism

Registered Members of: REQUIRED St. Olaf St. Joseph Please fill out this field.

Year Registered REQUIRED Please fill out this field. Please enter valid data.

First, Full Middle Name & Last Name REQUIRED Please fill out this field. Please enter valid data.

Gender REQUIRED Male Female Please fill out this field.

Date of Birth REQUIRED Please fill out this field. Please enter a date.

Place of Birth (City & State) REQUIRED Please fill out this field. Please enter valid data.

Adopted? REQUIRED Yes No Please fill out this field.

Parent Information

Have parents previously attended a baptism prep course? If yes, where and when? REQUIRED Please fill out this field. Please enter valid data.

Street 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.

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

Phone # is: REQUIRED Cell Phone Landline Please fill out this field.

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

Father's Name (First, Middle, Last) REQUIRED Please fill out this field. Please enter valid data.

Confirmed Catholic? REQUIRED Yes No Please fill out this field.

Mother's Name (First, Middle, Maiden Name) REQUIRED Please fill out this field. Please enter valid data.

Confirmed Catholic? REQUIRED Yes No Please fill out this field.

Parents Married in the Catholic Church? REQUIRED Yes No Please fill out this field.

Year Married REQUIRED Please fill out this field. Please enter valid data.

Name of Church REQUIRED Please fill out this field. Please enter valid data.

Any special circumstances we need to be aware of? Please explain:

Godfather's Name (First & Last) REQUIRED Please fill out this field. Please enter valid data.

Confirmed Catholic? REQUIRED Yes No Please fill out this field.

Godmother's Name (First & Last) REQUIRED Please fill out this field. Please enter valid data.

Confirmed Catholic? REQUIRED Yes No Please fill out this field.