Baptism Registration Form

: Baptism Registration
: St. Elizabeth Ann Seton - Springfield, MO
Child's Full Name
Male or Female
Father's Full Name
Mother's Full Name
Mother's Maiden Name
City & State of Child's Birth
Date of Child's Birth

: *Date of Baptism___________________________________________________

*Please call the Parish Office at 417-887-6472 to Schedule Baptism

Godfather
Confirmed, practicing Catholic?: YesNo
Godmother
Confirmed, practicing Catholic?: YesNo
If either Godparent will be represented by a proxy, please give name of Proxy
Proxy standing in for
Street Address
City
State
Zip Code
Phone
Religion of Father
Religion of Mother
Were you married by a priest?
Are you receiving mail from the parish?
Baptism class attended
: Baptism performed by______________________________________________

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