Immaculate Heart of Mary Baptism Request
What is on this form will go on the child's permanent records in the Sacramental Ledger.
Child's Full Name:
*
Boy
Girl
*
Birth Date:
*
City/State:
*
Father's Full Name:
*
Mother's Name (Maiden):
*
Address:
*
Phone:
*
Email Address:
*
Registered Members:
Yes
No
*
Godfather's Name:
*
Godmother's Name:
*
Date of Baptism:
*
1st Choice:
*
2nd Choice:
*
(Office will check to see if date is available.)
*
Time of Mass:
*
Celebrant:
*
(It is recommended that a donation be given to the priest.)
*