Fillable Baptismal Certificate Information Form-fillable Form 2019

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Baptismal Certificate Information Form-fillable Form 2019

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FinalDraft7‐31‐2015

GoodShepherdCatholicChurch

9539RacquetCourt,ElkGrove,CA95758

916.684.5722•Fax916.684.4472



BAPTISMALINFORMATION

PleasePrint.ThisinformationisforpermanentChurchrecords



*Child’sName:____________________________________________________________________________

 BaptismalName:_____________________________________________________________________

 DateofBirth:_________________________CityofBirth:___________________________________



*Father’sName(First,Last):__________________________________________________________________

SacramentsreceivedbyFather(Pleasecheckappropriateresponses):

BAPTISM:YES____NO____HOLYCOMMUNION:YES____NO____CONFIRMATION:YES____NO____



*Mother’sMaidenName(First,Last):__________________________________________________________

SacramentsreceivedbyMother(Pleasecheckappropriateresponses):

BAPTISM:YES____NO____HOLYCOMMUNION:YES____NO____CONFIRMATION:YES____NO____

 

*Parents’HomeAddress:____________________________________________________________________

(Street)(City)    (State,Zip)

Telephone:_______________________________________________________________________________

(Home)    (Work)    (Cell)

E‐mailaddress:____________________________________________________________________________



*ChurchofMarriage:____________________________________________Date_______________________

 IsyourmarriagerecognizedbytheCatholicChurch? YES_____ NO_____

 IfNO,nameofdenomination(ifapplicable):_______________________________________________

 CivilCeremony(ifapplicable):_____________NotMarried(Ifapplicable):_______________________



OneGodparentmustmeettheDiocesanregulationofbeingCatholic,meaninghe/shehasreceivedthe

SacramentsofInitiation(includingConfirmation),marriedinthechurch(ifapplicable),attendschurch

regularly,andisatleast16yearsold.IftheotherGodparentisnotCatholic,pleasemark“ChristianWitness”.



*Godmother’sName:________________________________________________________________________

 Catholic:YES_____ NO_____ ChristianWitness:YES_____



*Godfather’sName:________________________________________________________________________

 Catholic:YES_____ NO_____ ChristianWitness:YES_____



Arethereotherschool‐agedchildreninyourhouseholdenrolledintheGoodShepherdParishReligious

EducationProgram?YES_____ NO_____

Ifapplicable,wouldyouliketobecontactedaboutenrollingachildintheprogram?YES___NO___N/A___



FOROFFICEUSEONLY



DateBaptismPreparationclasscompleted:______________Paymentreceivedby:_____________________________



Baptismscheduledfor:______________________________Coupleregisteredinparish?YES____NO_____

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Completed 14 March 2022

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