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Baptism Registration Form

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The maximum number of form submissions has been reached. This form is currently not available.
- Please return this form to the Church office (using the "Submit" button at the bottom of the page) and your GODPARENT LETTERS no later than two weeks prior to the actual baptism. Please use FULL Christan names (not nicknames) when completing this form. Questions? Please contact the parish office at 269-327-5165.
- Child's Information
- Child's First Name REQUIRED Please fill out this field. Please enter valid data.
- Child's Middle Name Please enter valid data.
- Child's Last Name REQUIRED Please fill out this field. Please enter valid data.
- Child's Date of Birth (Month Day Year) REQUIRED Please fill out this field. Please enter valid data.
- Child's City of Birth REQUIRED Please fill out this field. Please enter valid data.
- Child's Gender Female Male
- Is this your first child to be baptized? Yes No
- Father's Information
- Father's First Name REQUIRED Please fill out this field. Please enter valid data.
- Father's Middle Name Please enter valid data.
- Father's Last Name REQUIRED Please fill out this field. Please enter valid data.
- Father's Religion REQUIRED Please fill out this field. Please enter valid data.
- Father's Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Mother's Information
  Please be sure to provide mother's MAIDEN name where indicated. This is required for baptismal records.
- Mother's First Name REQUIRED Please fill out this field. Please enter valid data.
- Mother's Middle Name Please enter valid data.
- Mother's Maiden Name REQUIRED Please fill out this field. Please enter valid data.
- Mother's Last Name (if different than Father's Last Name) Please enter valid data.
- Mother's Religion REQUIRED Please fill out this field. Please enter valid data.
- Mother's Phone Number REQUIRED Please fill out this field. Please enter valid data.
- Street Address REQUIRED Please fill out this field. 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.
- Home Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Were parents married by a Catholic priest? REQUIRED Yes No Please fill out this field.
- How long have you been members at St. Catherine's? REQUIRED Please fill out this field. Please enter valid data.
- Sponsor 1 First Name REQUIRED Please fill out this field. Please enter valid data.
- Sponsor 1 Last Name REQUIRED Please fill out this field. Please enter valid data.
- Sponsor 1 Religion REQUIRED Please fill out this field. Please enter valid data.
- Sponsor 1 Parish Please enter valid data.
- Sponsor 2 First Name REQUIRED Please fill out this field. Please enter valid data.
- Sponsor 2 Last Name REQUIRED Please fill out this field. Please enter valid data.
- Sponsor 2 Religion REQUIRED Please fill out this field. Please enter valid data.
- Sponsor 2 Parish Please enter valid data.
- Baptism Date/Time Information
  Baptisms are held on the 2nd and 4th Sunday of the month at 12:30 unless other arrangements are made. Thank you
Submit

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St. Catherine of Siena Parish

Portage, MI

Baptism Registration Form

Child's Information

Father's Information

Mother's Information

Baptism Date/Time Information