
ST FRANCIS XAVIER SCHOOL
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 ____________________________________