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Baptismal Form

- Sacraments

Please complete the Parent, Godparent and Child's section of the form. For questions please contact the church office 913.649.1337.
The maximum number of form submissions has been reached. This form is currently not available.
- Parent Information
  
  Registered Member of Parish Yes No
  
  Phone Number REQUIRED Please fill out this field. Please enter a phone number.
  
  Full Name of Father REQUIRED
  Please complete your full name without initials, thank you
  Please fill out this field. Please enter valid data.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Full Name of Mother REQUIRED
  Please complete your full name without initials, thank you
  Please fill out this field. Please enter valid data.
  
  Mother's Maiden Name REQUIRED Please fill out this field. Please enter valid data.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Street Address REQUIRED Please fill out this field. Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  Email Address REQUIRED Please fill out this field. Please enter an email address.
  
  Married in the Catholic Church Yes No
  
  If no, provide name of marriage institution REQUIRED Please fill out this field. Please enter valid data.
- Godparent Information
  
  (must be 16 years of age and one Godparent must be a practicing Catholic)
  
  Godfather Name REQUIRED Please fill out this field. Please enter valid data.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Godmother Name REQUIRED Please fill out this field. Please enter valid data.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
- Child Information
  
  First & Middle Name REQUIRED Please fill out this field. Please enter valid data.
  
  City & State of Child Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Gender Male Female
  
  Baptism Preparation Class is required. Have you attended a class? Yes No
  
  If no is selected, please contact church office
  (913) 649-1337. Thank you.
  
  Full Name to Appear on Certificate REQUIRED Please fill out this field. Please enter valid data.
  
  Comment
  
  I certify all information is correct Please select this field.
Submit