Baptism

CHILD'S INFORMATION

First Name REQUIRED Please fill out this field. Please enter valid data.

Middle Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.

Date of Birth Please enter a date.

Place of Birth Please enter valid data.

Has the child been privately baptized? Yes No

Is the child adopted? Yes No

Preferred Date of Baptism Please enter a date.

PARENTS' INFORMATION

Father's Full Name Please enter valid data.

Father's Religion Please enter valid data.

Mother's Full (Maiden) Name Please enter valid data.

Mother's Religion Please enter valid data.

Were you married with the permission of the Catholic Church? If not, are you interested in speaking with a priest or deacon about regularizing your marriage in the Catholic Church? Yes, we were married with the permission of the Catholic Church. No, but we are interested in speaking with someone about regularizing our marriage in the Catholic Church. No, and we are NOT interested in speaking with someone about regularizing our marriage in the Catholic Church.

Name and Location of Parish parents are registered at:

NOTE: Parents who are not registered members of our parish must provide a letter from the pastor of their Catholic parish giving them permission to have their child baptized outside their parish boundaries.

CONTACT INFORMATION

Address Please enter valid data.

City Please enter valid data.

State

Zip Please enter a zip code.

Phone Number REQUIRED

Please fill out this field. Please enter a phone number.

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

GODPARENTS

NOTE: Only two godparents are allowed. One must be male, and the other must be female. Only one godparent is needed for your child to get baptized; you are not required to have two. Godparents who are not members of our parish must provide a letter from the pastor of their Catholic parish stating that they are a registered member in good standing and eligible to serve as a godparent. Godparents must be at least 16 years old.

Godfather's Full Name Please enter valid data.

Is the Godfather a practicing Catholic who is at least 16 years old and has received the sacraments of Baptism and Confirmation and has no marriages outside the Church? Yes No

Godmother's Full Name Please enter valid data.

Is the Godmother a practicing Catholic who is at least 16 years old and has received the sacraments of Baptism and Confirmation and has no marriages outside the Church? Yes No

If a Christian Witness is used in place of one of the godparents, what is the name of the Christian Witness? Please enter valid data.

If a Christian Witness is used in place of one of the godparents, was the Christian Witness ever baptized Catholic (or converted to the Catholic faith)? Please enter valid data.

If a Christian Witness is used in place of one of the godparents, what is the religious affiliation of the Christian Witness? Please enter valid data.

St. Joseph Catholic Church

1305 Okoboji Avenue | Milford, Iowa 51351

Baptism

St. Joseph's Baptism In-Take Form

CHILD'S INFORMATION

PARENTS' INFORMATION

CONTACT INFORMATION

GODPARENTS