Registration Form for Baptism

Please complete the following information to schedule your child's Baptism.

Please note: You must be a registered member of St. Henry in order to have your child baptized here.

Name of Child

Sex of Child
MaleFemale

Date of Birth of Child

City and State of Birth of Child

Home Phone Number

Address including City and Zip Code

Email Address

Father's Full Name

Religion of Father

Mother's Full Maiden Name

Religion of Mother

Requested Date for Baptism: (note your baptism is not booked until confirmed by the office manager)

Godfather Name

Godfather
Yes - CatholicNot Catholic

Godmother Name

Godmother
Yes - CatholicNot Catholic

Will either Godparent be represented by proxy?
YesNo

if YES, what is the name of the proxy?

Was the child previously baptized (at another church or in an emergency situation)?
YesNo

Has either parent participated in a pre-baptism program in the last 5 years?
YesNo

If Yes, When? At which Church?

Your Message