Baptism Registration | Sacred Heart of Jesus Catholic Church, Boulder CO

Name of Child*

Middle

Last*

Date of Birth*

Gender*

Male
Female

Place of Birth*

Parent Information

Father's Name*

(As stated on child's birth certificate)

Father's Religion*

Mother's Name*

(As stated on child's birth certificate)

Mother's Religion*

Married?*

Yes
No

Are parents married in the Catholic Church?*

Yes
No

Are you registered members of Sacred Heart of Jesus Parish?*

Yes
No

Please provide local parish information*

(If you are not a member of Sacred Heart of Jesus, permission is required from your parish for Baptism.)

Was the child privately baptized?*

Yes
No

(As in the case of emergency)

Was the child adopted?*

Yes
No

Godparent Information

Godparent/Proxy's must have received all three sacraments, Baptism, Holy Communion, & Confirmation.

Godfather's Name or Proxy's Name*

Catholic?*

Yes
No

Godmother's Name or Proxy's Name*

Catholic?*

Yes
No

Christian Witness Information

Christian Witness' Name*

Faith of Christian Witness

Address*

Phone*

Phone

Email*

Class Attendance Date

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Email

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Baptism Registration Form

Parent Information

Godparent Information

Christian Witness Information