Please complete the following information to schedule your child’s Baptism. Child InformationPlease note that you must be a registered member of St. Henry in order to have your child baptized here.Name of Child* First Middle Last Suffix Sex of Child* Male Female Date of Birth* MM slash DD slash YYYY City & State of Birth of Child* City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State Parent InformationHome Phone*Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email* Father's Full Name* First Middle Last Suffix Religion of Father Mother's Full Maiden Name* First Middle Maiden Name Last Religion of Mother Godparent InformationGodfather Name* First Last Godfather Religion* Catholic Not Catholic Godmother Name* First Last Godmother Religion* Catholic Not Catholic Will either Godparent be represented by Proxy?* Yes No What is the name of the proxy? First Last Baptism InformationRequested Date of Baptism* MM slash DD slash YYYY Note that your Baptism is not booked until confirmed by the office manager.Was the child previously baptized at another church or in an emergency situation?* Yes No When?* MM slash DD slash YYYY At which Church?* Your MessagePlease let us know of any additional information here:CAPTCHANameThis field is for validation purposes and should be left unchanged.
