Request for Sacramental Preparation: Infant Baptism
(for children age six and under)

Child's Full Legal Name

Gender

Boy

Girl

Child's Place of Birth

Child's Date of Birth

YYYY

Was this child adopted?

Father's Full Name

First | Middle | Last

Father's Religion

Mother's Full Name

First | Middle | Last

Mother's Maiden Name

Mother's Religion

Home Address

City , State, and Zip

Phone

(###)

###

####

Are you registered at St. Charles Borromeo or do you live in its territorial boundaries?

If not, please attain a letter from your proper pastor, giving permission for the baptism to take place at St. Charles.

I understand that Godparents must fulfill all of the following criteria

1) Must be at least 16 years of age

2) Must be baptized

3) Must have received the Sacraments of Confirmation and Eucharist in the Catholic Church

4) Must be living a life in harmony with the faith

5) At least one Catholic Godparent is required. A second Catholic Godparent (or Christian Witness) of the other gender may be chosen.

Catholic Godfather

First | Last

Catholic Godmother

First | Last

Christian Witness

I have only one Catholic Godparent. I designate the following to be a Christian Witness to the baptism with the Godparent.

Request for Sacramental Preparation: Infant Baptism(for children age six and under)