Baptism Registration

We are so excited to help you and your child prepare to celebrate the sacrament of Baptism! Please take a few minutes to fill out the form below and, if you have any issues or questions, call us at 519-753-8439 or email us.

We are already registered in the Parish. *

Yes

Our contact information/address is the same as when we registered. *

Yes

Personal Information

Preferred Title *

Mr.

Mrs.

Ms.

Miss

Dr.

OtherOther

First Name *

Middle Name(s)

Last Name *

Maiden Name

Sex *

Male

Female

Date of Birth *

Religion *

Occupation

Phone Number *

Phone Type * Phone Type

Phone Number

Phone Type Phone Type

Email *

Address *

Address

City

Province

Postal Code

Marital Status *

Single

Married

Separated

Divorced

Widowed

OtherOther

Date of Marriage

City of Marriage

Type of Marriage

Roman Catholic Church

Other Christian Church

Civil

Name of Church

Denomination

Location

Add Another Family Member? *

Yes

Family Member 2

Preferred Title *

Mr.

Mrs.

Ms.

Miss

Dr.

OtherOther

First Name *

Middle Name(s)

Last Name *

Maiden Name

Sex *

Male

Female

Date of Birth *

Religion *

Occupation

Phone Number

Phone Type Phone Type

Relationship to Primary *

Spouse

Child

Parent

Sibling

OtherOther

Add Another Family Member? *

Yes

Family Member 3

Preferred Title *

Mr.

Mrs.

Ms.

Miss

Dr.

OtherOther

First Name *

Middle Name(s)

Last Name *

Maiden Name

Sex *

Male

Female

Date of Birth *

Religion *

Occupation

Phone Number

Phone Type Phone Type

Relationship to Primary *

Spouse

Child

Parent

Sibling

OtherOther

Add Another Family Member? *

Yes

Family Member 4

Preferred Title *

Mr.

Mrs.

Ms.

Miss

Dr.

OtherOther

First Name *

Middle Name(s)

Last Name *

Maiden Name

Sex *

Male

Female

Date of Birth *

Religion *

Occupation

Phone Number

Phone Type Phone Type

Relationship to Primary *

Spouse

Child

Parent

Sibling

OtherOther

Add Another Family Member? *

Yes

Family Member 5

Preferred Title *

Mr.

Mrs.

Ms.

Miss

Dr.

OtherOther

First Name *

Middle Name(s)

Last Name *

Maiden Name

Sex *

Male

Female

Date of Birth *

Religion *

Occupation

Phone Number

Phone Type Phone Type

Relationship to Primary *

Spouse

Child

Parent

Sibling

OtherOther

Add Another Family Member? *

Yes

Family Member 6

Preferred Title *

Mr.

Mrs.

Ms.

Miss

Dr.

OtherOther

First Name *

Middle Name(s)

Last Name *

Maiden Name

Sex *

Male

Female

Date of Birth *

Religion *

Occupation

Phone Number

Phone Type Phone Type

Relationship to Primary *

Spouse

Child

Parent

Sibling

OtherOther

Add Another Family Member? *

Yes

Family Member 7

Preferred Title *

Mr.

Mrs.

Ms.

Miss

Dr.

OtherOther

First Name *

Middle Name(s)

Last Name *

Maiden Name

Sex *

Male

Female

Date of Birth *

Religion *

Occupation

Phone Number

Phone Type Phone Type

Relationship to Primary *

Spouse

Child

Parent

Sibling

OtherOther

Add Another Family Member? *

Yes

Family Member 8

Preferred Title *

Mr.

Mrs.

Ms.

Miss

Dr.

OtherOther

First Name *

Middle Name(s)

Last Name *

Maiden Name

Sex *

Male

Female

Date of Birth *

Religion *

Occupation

Phone Number

Phone Type Phone Type

Relationship to Primary *

Spouse

Child

Parent

Sibling

OtherOther

Add Another Family Member? *

Yes

Family Member 9

Preferred Title *

Mr.

Mrs.

Ms.

Miss

Dr.

OtherOther

First Name *

Middle Name(s)

Last Name *

Maiden Name

Sex *

Male

Female

Date of Birth *

Religion *

Occupation

Phone Number

Phone Type Phone Type

Relationship to Primary *

Spouse

Child

Parent

Sibling

OtherOther

Add Another Family Member? *

Yes

Family Member 10

Preferred Title *

Mr.

Mrs.

Ms.

Miss

Dr.

OtherOther

First Name *

Middle Name(s)

Last Name *

Maiden Name

Sex *

Male

Female

Date of Birth *

Religion *

Occupation

Phone Number

Phone Type Phone Type

Relationship to Primary *

Spouse

Child

Parent

Sibling

OtherOther

I would like information about donation options

I wish to receive communion at home

I would like to become involved in ministry

I would like to learn more about sacraments (Baptism, First Communion, Confirmation, and/or Marriage)

We would like information about donation options

We have a family member who wishes to receive communion at home

One or more family members would like to become involved in ministry

We would like to learn more about sacraments (Baptism, First Communion, Confirmation, and/or Marriage)

Phone

Phone Type Phone Type

Updating Contact Information

Address

City

Province

Postal Code

Phone

Phone Type Phone Type

Phone

Phone Type Phone Type

Email Type

Parent’s Marital Status *

Married

Separated

Divorced

Common-law

Engaged

Unmarried/Single

Place of Marriage *

Child’s Information

Child’s First Name *

Child’s Middle Name(s)

Child’s Last Name *

Date of Birth *

Children aged 8 or older are initiated through a different process. Please contact the Parish Office at 519-753-8439 to discuss options for preparation.

Child’s Age *

Place of Birth *

Child’s Sex *

Male

Female

Birth Mother’s Information

Birth Mother’s First Name *

Birth Mother’s Middle Name(s)

Birth Mother’s Last Name *

Birth Mother’s Maiden Name *

Birth Mother’s Religion * Birth Mother's Religion

Birth Father’s Information

Birth Father’s First Name

Birth Father’s Middle Name(s)

Birth Father’s Last Name

Birth Father’s Religion Birth Father's Religion

Godparent Information

Godfather’s First Name

Godfather’s Last Name

Godfather’s Religion Godfather's Religion

Godfather’s Email

Godmother’s First Name

Godmother’s Last Name

Godmother’s Religion Godmother's Religion

Godmother’s Email

If you are human, leave this field blank.

Baptism Registration

Personal Information

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Family Member 2

Family Member 3

Family Member 4

Family Member 5

Family Member 6

Family Member 7

Family Member 8

Family Member 9

Family Member 10

Updating Contact Information

Child’s Information

Birth Mother’s Information

Birth Father’s Information

Godparent Information