Infant Baptism

Requested Date of Baptism * Please enter a date.

* We will notify you if there is a problem with the date.

CHILD'S INFORMATION

First Name Please enter valid data.

Last Name Please enter valid data.

Date of Birth Please enter a date.

Place of Birth Please enter valid data.

Was the child privately baptized? Yes No

Was the child adopted? Yes No

PARENT'S INFORMATION

Father's First Name Please enter valid data.

Father's Last Name Please enter valid data.

Father's Religion Please enter valid data.

Mother's First Name Please enter valid data.

Mother's Last Name Please enter valid data.

Mother's Maiden Name Please enter valid data.

Mother's Religion Please enter valid data.

Were parents married by a Catholic priest? Yes No

Street Address Please enter valid data.

City Please enter valid data.

State

Zip Please enter a zip code.

Home Phone Number Please enter a phone number.

GODFATHER

First Name Please enter valid data.

Last Name Please enter valid data.

Is Godfather Catholic? Yes No

GODMOTHER

First Name Please enter valid data.

Last Name Please enter valid data.

Is Godmother Catholic? Yes No

Is either Godparent represented by proxy? Yes No

Please list name of proxy

First Name Please enter valid data.

Last Name Please enter valid data.

ADDTIONAL COMMENTS

CONTACT INFORMATION

Indicate person to be contacted

First Name Please enter valid data.

Last Name Please enter valid data.

Best Number to Use

Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Best Time of Day to Call Morning Afternoon Anytime

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If supplied you will receive a confirmation e-mail

Our Lady of Consolation Church

Wayne, NJ 07470 ~ 973-839-3444

Infant Baptism

CHILD'S INFORMATION

PARENT'S INFORMATION

GODFATHER

GODMOTHER

ADDTIONAL COMMENTS

CONTACT INFORMATION