Baptismal Intake Form
Today's Date
If available, your preferred Date of Baptism:
Our Baptisms are generally on Sundays at 1:00 PM. We will let you know if your preferred date is available. If you are unsure of a date, please provide us with more information below:
Full Name of Child:
Date of Birth:
Male or Female?
Birthplace City:
State:
Father's Name:
Religion:
Mother's Name:
Mother's Maiden Name:
Primary Phone
Email:
Indicate the above phone type:
Home Address:
Are child's parents registered at St. Mary Magdalen?
If NO, what is your connection to St. Mary Magdalen?
Were the parents married by a Catholic Priest or Deacon?
Name of Godfather:
Name of Godmother:
For first child parents only - date attending Baptism Prep Class:
If your child received an emergency Baptism at a hospital or other location, please note the location below and by whom:
Verification