Baptism Form

Name:

Home Address -(Include City, State & Zip)

Email:

Phone:

Church site requested

Child's full name

Date of Birth

Proposed Baptism Date:

Place of Birth-Hospital, City & State

Father's Full Name

Father's Religion

Mother's Full Name (Maiden)

Mother's Religion

Married

By a Priest in a Catholic Church

By a Minister

By a Justice of the Peace

Not Married

If Married in a Catholic Church, please indicate name & Location of Church

If not married in a Catholic Church, was the marriage Blessed by the Church?

Yes

Is the Family registered in our Parish

Yes

If no, please indicate where you are registered

Godfather

Godfather's Religion:

Godmother

Godmother's Religion:

Do the Godparents need a letter of Recommendation? (If yes, please download & print the form below)

Baptism Class- Have you attended & when

Catholic Churches while you're Traveling

Niagara Frontier Catholic Community

St. Peter - Lewiston * St. Bernard - Youngstown

Immaculate Conception - Ransomville

Family Office:
620 Center St
Lewiston, NY 14092

Email Us
P: 716-754-4118 | F: 716-754-4141