Your Name
Your email address
Full Name of Child
Child's Date of Birth
City/State of Birth
Father's Full Name
Father's Religion
Mother's Full Maiden Name
Mother's Religion
Family Address
Home Phone with area code
Cell Phone with area code
Was child adopted?
Yes
No
Were parents married in the Catholic Church?
Yes
No
Is the family registered at Mt. Carmel?
Yes
No
Approx date of registration
Baptism Preparation Classes
Have the PARENTS attended classes before?
Yes
No
Date and place of class
Have the GODPARENTS attended classes before?
Yes
No
Date and place of class
Godfather's Information
Godfather
Religion
Telephone
Parish Registered
Godmother's Information
Godmother
Religion
Telephone
Parish Registered
Baptism Dates: 3rd & 4th Sundays of each month only.
Will the child be baptized at OLMC?
Yes
No
Is letter needed for attendance record?
Yes
No
Baptisms are normally held on the 3rd and 4th Sundays of the month at 12:45pm.
Requested Baptism Date
Security Code
*