Baptismal Request

Request for Baptism at Blessed Sacrament, St. Elizabeth Ann Seton or Sts. Mary & Joseph Catholic parishes

Download and fill-out this form; return to the BSP Parish office, or fill-out the on-line form below

Download Request Form

Baptismal Request

Request to have individuals Baptized at Blessed Sacrament, St. Elizabeth Ann Seton or St. Mary and Joseph Parishes

Please note: All baptisms are not private and there may be more than one Baptism at the same Mass

Name(Required)

First Middle Last

Person to be Baptized

Date of Birth(Required)

Birthday of individual being Baptized

Church where Baptism is to be performed(Required)

Blessed Sacrament

St. James

St. Mary’s

Gender(Required)

Baptized Prior(Required)

Yes

Was the person Baptized before?

City and State of Birth(Required)

Please list as City, ST

Parents' Details

Father's Name(Required)

First Middle Last

Father's Religion(Required)

Church Where Father's Registered(Required)

List None if not registered at any church

Mother's Name(Required)

First Middle Last

Mother's Maiden Name(Required)

Last

Mother's Religion(Required)

Church Where Mother's Registered(Required)

List None if not registered at any church

Church Where Married(Required)

City and State of Marriage(Required)

Please list as City, ST

Marriage Valid in the Church

Regularly Attend Mass

Godparent's Information

Female Godparent's Name(Required)

First Middle Last

Female Godparent's Religion(Required)

Church Where Godparent's Registered(Required)

List None if not registered at any church

If Catholic, regularly attend Mass(Required)

Male Godparent's Name(Required)

First Middle Last

Male Godparent's Religion(Required)

Church Where Godparent's Registered(Required)

List None if not registered at any church

If Catholic, regularly attend Mass(Required)

Contact Information

Primary Email(Required)

Enter Email Confirm Email

List e-mail for primary contact

Primary Phone #(Required)

Home or Cell for primary contact

Address(Required)

Street Address Address Line 2 City State ZIP Code

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