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 *