Baptism Application Form

Please fill out this form in order to apply for a baptism at The Basilica of St Mary Star of the Sea.

 

Child Information/Información del niño/niña

Name of Child/Nombre del Niño/Niña(Required)
MM slash DD slash YYYY
City, State (*Please bring birth certificate)
Child's Address/Direccion del Niño/Niña(Required)
MM slash DD slash YYYY
Is child adopted/Es adoptado?(Required)
Was the child privately baptized/El niño/niña ha sido bautizado privadamente?(Required)

Parental Information/Información de padres

Father's Name/Nombre del padre(Required)
Mother's Maiden Name/Nombre de soltera(Required)
Parental Contact Email/Correo Electronico(Required)
When is the best time for us to reach you via telephone?
Are the parents married/Estan casado los padres?(Required)
Were the parents married by a Roman Catholic Priest/Los padres fueron casado por un sacerdote Catolico?(Required)

Godparent Information/Información de los padrinos

Godfather's Name/Nombre del pardino
Godmother's Name/Nombre de la madrina
Is either godparent represented by proxy/Alguno de los padrinos está representado por apoderado?
If yes, please provide the name of the proxy.
Name of proxy/Nombre del apoderado
This field is for validation purposes and should be left unchanged.