Blank for Baptism Register

Please Fill the Form

Last Name of Child *

Child's First and Middle Name (if any) *

Street Address *

City *

State/Province *

ZIP / Postal Code *

Country *

Phone Number *

Email Address *

Date of Birth *

Place of Birth (City, State) *

Date of Baptism *

Age *

Gender *MaleFemale

Father's First Name, Middle Name (if any)

Father's Last Name

Religion of Father

Mother's First Name, Middle Name (if any)

Mother's Maiden Name

Religion of Mother

Were Parents Married by a Catholic Priest? *YesNo

Godfather's First Name, Middle Name (if any)

Is Godfather a Catholic? *YesNo

Godmother's First Name, Middle Name (if any) *

Is Godmother a Catholic? *YesNo

Is either Godparent represented by Proxy? *YesNo

Name of Proxy *

Was the child privately baptized? *YesNo

Was the child adopted? *YesNo

Is the family registered? (Select the Church) *

Name of the Church to be Baptized *

Name of Priest *Rev. Vijay Kumar MadaniOther

Name of Priest *

Please do not fill in this field.

Scroll to Top