Blank for Baptism Register

Name of Child

Male___ Female___

Residence

Telephone Number

Date of Birth

Place of Birth

Date of Baptism

Father’s Name

Religion of Father

Mother’s Maiden Name ___

Religion

Were Parents Married by a Catholic Priest?

Godfather

Is Godfather a Catholic?

Godmother

Is Godmother Catholic?

Is either Godparent represented by Proxy?

Name of Proxy

Was the child privately baptized?

Was the child adopted?

Name of Priest or Deacon

Attended Prep Class:

Child added to Family:

Date Baptism Letter Sent:

Date Baptism logged in Registry:

Baptism logged in Computer: