Baptism Information Form

Please fill out the following form completely and click 'Submit' to begin the process to have your child baptized at Saint John the Baptist. You must follow up with a call to the Baptism coordinator at 303.776.0737 to be certain that your form was received and for further instructions.

Baptism Information Form

Name of Child:
Birth Date: City of Birth:
Was Child Adopted?:

Yes  No

Emergency Baptism?:

Yes  No

Registered in parish?:

Yes  No

Comments:
Date Reqested for Baptism:
Father's Full Name:
Father's Religion:
Mother's First, Middle & Maiden Name:
Motherr's Religion:
Address: City, ST, Zip:
Phone# of Contact Person: home
work
cell
Married?:

Yes  No

In the Catholic Church?:

Yes  No

Civil Ceremony?:

Yes  No

If Married in another church, denomination & location:
If separated, divorced or single, indicate here: Separated  Divorced Single Not applicable
Baptism Class Required?: Yes  No
 Date scheduled/attended:
Godfather's Full Name:
Godfather's Religion: Godfather has received Confirmation?: Yes  No
Phone of Godfather
Godmother's Name:
Godmother's Religion: Godmother has received Confirmation?: Yes  No
Phone of Godmother
Is either Godparent represented by proxy?: Yes  No
If yes, explain:
Comments:
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    copyright © Church of St. John the Baptist 2007 323 Collyer Street, Longmont CO 80501
phone: 303-776-0737
fax: 303-772-5636
email: info@johnthebaptist.org