Baptismal Request

Child's full name REQUIRED Please fill out this field. Please enter valid data.

Mailing Address REQUIRED Please fill out this field. Please enter valid data.

Child's Date of Birth REQUIRED Please fill out this field. Please enter valid data.

Hospital of Birth / City and State) REQUIRED Please fill out this field. Please enter valid data.

Father's Full Name (include middle name) REQUIRED Please fill out this field. Please enter valid data.

Father's Religion REQUIRED Please fill out this field. Please enter valid data.

Mother's Full Name (include middle name) REQUIRED Please fill out this field. Please enter valid data.

Mother's maiden name if applicable REQUIRED Please fill out this field. Please enter valid data.

Mother's religion REQUIRED Please fill out this field. Please enter valid data.

Were parents married in the Catholic Church? REQUIRED Yes Married elsewhere Marriage was Annulled Not Married Civilly Married Only Divorced Please fill out this field.

Godfather's Full Name (include middle name) REQUIRED Please fill out this field. Please enter valid data.

Is the proposed godfather a practicing Catholic? REQUIRED

Both godparents must have a letter of suitability sent to us from their pastor before they are approved.

Yes No Please fill out this field.

Name and location of godfather's parish: REQUIRED Please fill out this field. Please enter valid data.

Godmother's Full Name (include middle name) REQUIRED Please fill out this field. Please enter valid data.

Is the proposed godmother a practicing Catholic? REQUIRED

Both godparents must have a letter of suitability sent to us from their pastor before they are approved.

Yes No Please fill out this field.

Name and location of godmother's parish: Please enter valid data.

Will godparents be at the baptism or will there be a proxy? REQUIRED Both godparents will be present There will be a proxy for the godfather. There will be a proxy for the godmother. Please fill out this field.

Was the child adopted? REQUIRED Yes No Please fill out this field.

Has child been baptized previously? REQUIRED Yes No Please fill out this field.

If yes, where and under what circumstances? Please enter valid data.

Additional Information for parish staff, if needed

St. Michael Catholic Parish
& Mission of St. Dominic

Brandywine / Aquasco, MD

Baptismal Request