ABOUT HISTORY MASS SCHEDULE PASTORAL COUNCIL MEMBERS MINISTRIES WORSHIP MINISTRIES SOCIAL FELLOWSHIP MINISTRIES FRATERNAL ORGANIZATIONS/MINISTRIES MINISTRY & ORGANIZATION LEADERS SACRAMENTS RELIGIOUS EDUCATION PARISH SERVICES MASS INTENTIONS PARISHIONER REGISTRATION BURIAL PLANNING “I AM” PROGRAM RENTAL REQUEST CREDIT UNION CERTIFICATE REQUESTS OFFERTORY ENVELOPES LINKS OF INTEREST CALENDAR Gallery CONTACT GIVE Immaculate Heart of Mary Catholic Church Baptism Form For Office Use Only Presiding priest/deacon: Date of Baptism: Entered. in Sac. reg. & computer by: Date: Cert. Mailed: Date Baptismal Fees Paid: YesNo Today's Date Child's Name First: Last: Date of Birth City and state of Birth Gender of child M/F Was the child adopted? YesNo (If so, legal documentation is needed.) Are you a legal guardian YesNo (If so, legal documentation is needed.) Father's Name: Phone number: Email: Address: City State Zip Confirmed? YesNo Attended: Workshop: YesNo Mother's maiden name: (A copy of Child's Birth Certificate must be provided if mother is not married) Phone number: Email: Address: City State Zip Religion of Mother Mother Confirmed? YesNo Att. Workshop: YesNo Are you (Parents) registered members of Immaculate Heart? YesNo If You are not a member of Immaculate Heart, permission is required from your Parish. Marital Status of Parents (married, single or divorce, co-habit) Catholic Church marriage YesNo If yes, please provide name of Church, City Godfather: Godparent form Returned: YesNo Godmother: Godparent form Returned: YesNo Signature of Father Signature of Mother Δ
