Baptism information

St. Francis Xavier Church, Willard, Ohio

Name of child _______________________________________________________ Sex _______

​

Date of Birth (mm/dd/yy) ________________ Place of birth _____________________________

​

Date of Baptism _______________ Time ____________ Celebrant _______________________

​

Parents registered in parish:  Yes   No     Baptism classes attending ____________________

​

Father ________________________________________________ Religion _________________

​

Mother _________________________Maiden_______________ Religion _________________

​

Place of Marriage _______________________________________ Validity _________________

​

Home Address, city, state, zip ___________________________________________________________

​

Telephone _____________________________________ e-mail ___________________________________

​

Godfather __________________________________________ Telephone ________________

​

Address, city, state, zip ___________________________________________________________

​

Baptism classes attending __________________________ Parish ________________________

​

Godmother _________________________________________ Telephone _________________

​

Address, city, state, zip ___________________________________________________________

​

Baptism classes attending __________________________ Parish ________________________

 

_______ Child’s Birth certificate.

_______ Godfather’s Confirmation certificate.

_______ Godfather’s Marriage certificate.

_______ Godmother’s Confirmation certificate.

_______ Godmother’s Marriage certificate.

_______ Pastor’s reference letter (those not of SFX).

_______ Baptism certificate signed and given to family.

_______ Baptism recorded in parish registry.

_______ Stipend offering of $10 received.

​

Date today ____________________________________