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*MaleFemaleDate of Birth* Date Format: 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 FatherMother's Full Maiden Name* First Middle Maiden Name Last Religion of MotherGodparent InformationGodfather Name* First Last Godfather Religion*CatholicNot CatholicGodmother Name* First Last Godmother Religion*CatholicNot CatholicWill either Godparent be represented by Proxy?*YesNoWhat is the name of the proxy? First Last Baptism InformationRequested Date of Baptism* Date Format: 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?*YesNoWhen?* Date Format: MM slash DD slash YYYY At which Church?*Your MessagePlease let us know of any additional information here:CAPTCHAEmailThis field is for validation purposes and should be left unchanged.
