St. John Neumann Catholic Church

Baptism Request

This is a request only, not a confirmed booking. Your baptism date and time are not scheduled until a member of our staff contacts you to confirm.

Person to be Baptized

Please give the full legal name as it appears on the birth certificate.

First Name

Middle Name

Last Name

Sex

Date of Birth

City of Birth

Was the child adopted?

Father

Can we reach the father?

First Name

Last Name

Religion

Mobile Phone

Address Line 1

Address Line 2

City

State

ZIP Code

Registered parishioner at St. John Neumann Catholic Church?

Mother

Can we reach the mother?

First Name

Last Name

Maiden Name

Religion

Mobile Phone

Same address as father

Address Line 1

Address Line 2

City

State

ZIP Code

Registered parishioner at St. John Neumann Catholic Church?

About the Family

Have you been registered parishioners of this parish for at least three months?

Have both parents attended a baptismal preparation class?

Sponsor / Godparent 1

First Name

Last Name

Religion

Mobile Phone

Address Line 1

Address Line 2

City

State

ZIP Code

Registered parishioner at St. John Neumann Catholic Church?

Sponsor / Godparent 2

First Name

Last Name

Religion

Mobile Phone

Address Line 1

Address Line 2

City

State

ZIP Code

Registered parishioner at St. John Neumann Catholic Church?

Baptism Date

Communal baptism — choose one of the dates below

Available Dates

The date I want is full — put us on the waiting list for it Being on the list does not hold a spot. If one opens, the parish office will contact you.

How many children are being baptized in this request? Siblings baptized together each take a spot on the date you choose.

Request a private baptism — the parish will review this request; a private baptism is not scheduled by this form

If you are requesting a private baptism, what date would you prefer?

Preferred time