Baptism Registration Form

Child's Information

Please submit a copy of the child's birth certificate or adoption papers to the Church Office. If you have not received the official birth certificate yet, you can submit a copy of the information sent home from the hospital. Please fax to 225-291-8063, or mail to 7808 St. George Dr., Baton Rouge, LA 70809.
First Please enter valid data.
Middle Please enter valid data.
Last REQUIRED Please fill out this field. Please enter valid data.
Date of Birth Please enter a date.
Due Date (If expecting) Please enter a date.
Place of Birth Please enter valid data.
Gender Boy Girl Unknown
Adopted? REQUIRED
Was this child adopted by one or both parents?
No Yes Please fill out this field.

Contact Information

Address REQUIRED Please fill out this field. Please enter valid data.
Address 2 Please enter valid data.
City REQUIRED Please fill out this field. Please enter valid data.

State REQUIRED Please fill out this field.

Zip REQUIRED Please fill out this field. Please enter a zip code.
Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
Alternate Phone Number Maximum 20 characters Please enter a phone number.
Email REQUIRED Please fill out this field. Please enter an email address.

Parent Information

Father's Name Please enter valid data.
Father's Religion Please enter valid data.
Mother's Name (Please enter entire name, first, middle, maiden and last) REQUIRED Please fill out this field. Please enter valid data.
Mother's Religion Please enter valid data.
Marital Status
Type of Marriage
Divorced
Was either parent previously divorced?
Annulled?
Was your divorce annulled?

Additional Information

First Child? REQUIRED
Is this your first child?
Yes No Please fill out this field.
Sibling Info Please enter valid data.
Sibling School Please enter valid data.
Previous Baptism? REQUIRED
Have you previously completed baptism preparation and had a child baptized at St. George?
Yes No Please fill out this field.

Complete if Applicable

If you are not the biological or adoptive parent of this child, please complete the fields below.
First Name Please enter valid data.

Last Name Please enter valid data.
Please provide your relation to the child (Grandparent, Aunt, Uncle, Legal Guardian, etc.)
Relation to Child Please enter valid data.
Legal Custody
Do you have legal custody/guardianship of the child? Documentation will be required.
Yes No

Parishioner Information

Are you registered at St. George? REQUIRED Yes No Please fill out this field.
Do you live inside the parish boundary? REQUIRED Yes No Please fill out this field.
How often do you attend church?

Baptism Information

At least one Godparent must be Catholic who has received the Sacraments of Confirmation and Marriage in the church, if ever married. Anyone who has EVER been Baptized Catholic must adhere to these eligibility requirements.
Name of Godfather REQUIRED
Name of Godfather or Christian Witness
Please fill out this field. Please enter valid data.
Religion of Godfather REQUIRED Please fill out this field. Please enter valid data.
Name of Godmother REQUIRED
Name of Godmother or Christian Witness
Please fill out this field. Please enter valid data.
Religion of Godmother REQUIRED Please fill out this field. Please enter valid data.

Baptism Details

Type of Baptism REQUIRED
See the Baptism main page for more information on the types of Baptism.
Infusion (pouring) of the water Please fill out this field.
Preferred Month of Baptism REQUIRED Please fill out this field.
Preferred Mass Time REQUIRED Please fill out this field.
Notes
May we announce your child's Baptism in the Parish Bulletin?
Bulletin REQUIRED Yes No Please fill out this field.