Baptism Information Form

Today's Date REQUIRED Please fill out this field. Please enter a date.

ST. GABRIEL CHURCH PARTICIPATION

Have you been registered, active parishioners at St. Gabriel for at least 3 months? REQUIRED Yes No Please fill out this field.

If you answered "no" above, please tell us why you are asking to have your child baptized at St. Gabriel. Please enter valid data.

BAPTISM CLASS INFORMATION

Has your child been baptized in the hospital or at home? REQUIRED Yes No Please fill out this field.

Have you previously attended a baptism class for an older child? REQUIRED Yes No Please fill out this field.

Date of Baptism class you will attend (if you have not attended previously) Please enter a date.

BAPTISM DATE

Baptisms are scheduled on Saturday mornings in English and on Sunday afternoons in Spanish.

1st Choice of Baptism Date REQUIRED Please fill out this field. Please enter a date.

2nd Choice of Baptism Date REQUIRED Please fill out this field. Please enter a date.

CHILD'S INFORMATION

First Name of Child to be baptized REQUIRED Please fill out this field. Please enter valid data.

Middle Name of Child to be baptized REQUIRED Please fill out this field. Please enter valid data.

Last Name of Child to be baptized REQUIRED Please fill out this field. Please enter valid data.

Child's Gender REQUIRED Male Female Please fill out this field.

Child's Place of Birth (City, State) REQUIRED Please fill out this field. Please enter valid data.

Child's Date of Birth REQUIRED Please fill out this field. Please enter a date.

PARENTS' INFORMATION

Father's First Name REQUIRED Please fill out this field. Please enter valid data.

Father's Middle Name REQUIRED Please fill out this field. Please enter valid data.

Father's Last Name REQUIRED Please fill out this field. Please enter valid data.

Religion of Father REQUIRED Please fill out this field. Please enter valid data.

Mother's First Name REQUIRED Please fill out this field. Please enter valid data.

Mother's Middle Name REQUIRED Please fill out this field. Please enter valid data.

Mother's Maiden Name REQUIRED Please fill out this field. Please enter valid data.

Mother's Last Name REQUIRED Please fill out this field. Please enter valid data.

Religion of Mother REQUIRED Please fill out this field. Please enter valid data.

Marital Status - Check one REQUIRED We were married in the Catholic Church We were married in a non-Catholic church WITH Catholic Church preparation and written permission of a Catholic bishop We were married at a venue, at a courthouse, or in a non-Catholic church WITHOUT Catholic Church preparation and written permission of a Catholic bishop We are not married (put "N/A" in name of church below) Please fill out this field.

Name of Catholic Church, non-Catholic church, venue, or courthouse where marriage took place REQUIRED Please fill out this field. Please enter valid data.

City and State where marriage took place REQUIRED Please fill out this field. Please enter valid data.

Home 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.

Preferred Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Email REQUIRED Please fill out this field. Please enter an email address.

GODPARENTS' INFORMATION

Godfather's Full Name (first, middle, last) REQUIRED Please fill out this field. Please enter valid data.

Religion of Godfather REQUIRED Please fill out this field. Please enter valid data.

Registered at St. Gabriel Church? REQUIRED Yes No Please fill out this field.

Godmother's Full Name (First, Middle, Last) REQUIRED Please fill out this field. Please enter valid data.

Religion of Godmother REQUIRED Please fill out this field. Please enter valid data.

Registered at St. Gabriel Church REQUIRED Yes No Please fill out this field.

OTHER

Comments/Questions Please enter valid data.

For Office Use Only:

Date of Baptism: _______________________

Baptized By: _________________________________________

Entered into Baptism Register By: ________________________ on __________

Entered into Database By: _________________________ on __________

St. Gabriel Catholic Church

Charlotte, NC