Infant Baptism Request Form

This form may only be completed by the child's parent or legal guardian. Please ensure the accuracy of the following information, as it will be used for the official Baptismal Record.

Child's Information

First Name (Child) REQUIRED Please fill out this field. Please enter valid data.

Middle Name (Child) REQUIRED Please fill out this field. Please enter valid data.

Last Name (Child) REQUIRED Please fill out this field. Please enter valid data.

Gender (Child) REQUIRED Male Female Please fill out this field.

Date of Birth (Child) REQUIRED Please fill out this field. Please enter a date.

City & State of Birth (Child) REQUIRED Please fill out this field. Please enter valid data.

Is the child adopted? REQUIRED Yes No Please fill out this field.

Are the parents of the child married to each other in the Catholic Church? REQUIRED Yes No Please fill out this field.

Mother's Information

First Name (Mother) REQUIRED Please fill out this field. Please enter valid data.

Middle Name (Mother) REQUIRED Please fill out this field. Please enter valid data.

Maiden Name (Mother) REQUIRED Please fill out this field. Please enter valid data.

Religion of Mother REQUIRED Please fill out this field. Please enter valid data.

Catholic parish where Mother is registered Please enter valid data.

Primary Phone (Mother) REQUIRED

Please fill out this field. Please enter a phone number.

Email (Mother) REQUIRED Please fill out this field. Please enter valid data.

Father's Information

First Name (Father) REQUIRED Please fill out this field. Please enter valid data.

Middle Name (Father) REQUIRED Please fill out this field. Please enter valid data.

Last Name (Father) REQUIRED Please fill out this field. Please enter valid data.

Religion of Father REQUIRED Please fill out this field. Please enter valid data.

Catholic parish where Father is registered Please enter valid data.

Primary Phone (Father) REQUIRED

Please fill out this field. Please enter a phone number.

Email (Father) REQUIRED Please fill out this field. Please enter valid data.

Mailing Address

Child's primary residence is with: REQUIRED Both Parents Both Parents, but in separate homes Mother Father Other Please fill out this field.

Parent Residence 1

Parent Name(s) for Residence 1 REQUIRED Please fill out this field. Please enter valid data.
Street Address REQUIRED Please fill out this field. Please enter valid data.
City REQUIRED Please fill out this field. Please enter valid data.

State REQUIRED Please fill out this field.

Zip REQUIRED Please fill out this field. Please enter a zip code.

Parent Residence 2 (if applicable)

Parent Name for Residence 2 Please enter valid data.
Street Address Please enter valid data.
City Please enter valid data.

State

Zip Please enter a zip code.

Godparent Information

There may be either one male godparent and one female godparent, or only one godparent of either gender. There cannot be two godparents of the same gender.

# of Godparents REQUIRED Please fill out this field.
Godparent 1
- First Name (Godparent) REQUIRED Please fill out this field. Please enter valid data.
- Middle Name (Godparent) REQUIRED Please fill out this field. Please enter valid data.
- Last Name (Godparent) REQUIRED Please fill out this field. Please enter valid data.
- Gender REQUIRED Male Female Please fill out this field.
- Catholic parish name & location where godparent is registered REQUIRED Please fill out this field. Please enter valid data.
Godparent 2
- First Name (Godparent) REQUIRED Please fill out this field. Please enter valid data.
- Middle Name (Godparent) REQUIRED Please fill out this field. Please enter valid data.
- Last Name (Godparent) REQUIRED Please fill out this field. Please enter valid data.
- Gender REQUIRED Male Female Please fill out this field.
- Catholic parish name & location where godparent is registered REQUIRED Please fill out this field. Please enter valid data.

Christian Witness Information (optional)

One Christian witness is allowed if there is only one godparent. The Christian witness must be a baptized Christian.

First Name Please enter valid data.

Middle Name Please enter valid data.

Last Name Please enter valid data.

Gender Male Female

Religion of Christian Witness Please enter valid data.

Family Baptism History

Have you completed a Baptism Preparation Class within the last two years? REQUIRED Yes No Please fill out this field.

If you have completed a Baptism Preparation Class within the last two years, what was the class date? Please enter valid data.

Have you previously baptized more than two of your children? REQUIRED Yes No Please fill out this field.

Our Lady of Fatima Catholic Parish

1985 Miller St, Lakewood, CO
(303) 233-6236