Baptism Form Infant's Name First Middle Last Child's AgePlace of Birth City State / Province / Region Parent #1 Name First Middle Last Is Parent #1 Catholic Yes No Parent #2 Name First Middle Last Maiden Name Is Parent #2 Catholic Yes No Family Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code PhoneEmail Godparent #1 Name First Last Is Godparent #1 Catholic Yes No Godparent #2 Name First Last Is Godparent #2 Catholic Yes No Are you parishioners at St. George Church? Yes No Proposed Date of Baptism MM slash DD slash YYYY We will do our best to accommodate your requested date, but it depends on Father's availability.
