Baptism Registration

Name of Child Being Baptized (please also submit a copy of the birth certificate to the rectory) REQUIRED Please fill out this field. Please enter valid data.

Family Home Address REQUIRED Please fill out this field.

Name of Father of Child Being Baptized REQUIRED Please fill out this field. Please enter valid data.

Father's Email REQUIRED Please fill out this field. Please enter valid data.

Father's Phone Number REQUIRED Please fill out this field. Please enter valid data.

Name of Mother of Child Being Baptized REQUIRED Please fill out this field. Please enter valid data.

Mother's Email REQUIRED Please fill out this field. Please enter valid data.

Mother's Phone Number REQUIRED Please fill out this field. Please enter valid data.

Mother's Religious Association REQUIRED Please fill out this field.

Father's Religious Association REQUIRED Please fill out this field.

Are parents married in the Catholic Church? (If not please provide details i.e. married civilly, in Christian church, never married etc.) REQUIRED Please fill out this field. Please enter valid data.

Parish Family is Currently Registered With: REQUIRED Please fill out this field. Please enter valid data.

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

Godfather's Email REQUIRED Please fill out this field. Please enter valid data.

Godfather's Phone Number REQUIRED Please fill out this field. Please enter valid data.

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

Godmother's Email REQUIRED Please fill out this field. Please enter valid data.

Godmother's Phone Number REQUIRED Please fill out this field. Please enter valid data.

Godfather's Religious Association REQUIRED Please fill out this field.

Godmother's Religious Association REQUIRED Please fill out this field.

Parish Godparents are Currently Registered With: REQUIRED Please fill out this field. Please enter valid data.

Preferred Baptism Date: (1st Sunday 3pm) REQUIRED Please fill out this field. Please enter valid data.

Email REQUIRED

Please add E-mail address for a copy of Baptism class registration!

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

Suggested Donation between $50 - $100 (Sacraments are free gifts of God's grace! All baptism donations go to the Maintenance Fund for St. Rose of Lima Church) REQUIRED $ Please fill out this field. Please enter a positive decimal.

St. Rose of Lima

Baptism Registration

Section I: Registration for English Baptism Classes Only

Section II: Registration for English Baptism Classes Only