Registration Form for Baptism

Baptism Schedule

Please check your preferred date

St. Mary Parish: 2nd and 4th Sundays of the month St. Martha Parish: 3rd Sunday of the month

Requested Date of Baptism REQUIRED Please fill out this field. Please enter valid data.

Child's Gender REQUIRED Male Female Please fill out this field.

Child's First Name REQUIRED Please fill out this field. Please enter valid data.

Child's Middle Name Please enter valid data.

Child's Last Name REQUIRED Please fill out this field. Please enter valid data.

Child's Date of Birth REQUIRED Please fill out this field. Please enter valid data.

City of Birth REQUIRED Please fill out this field. Please enter valid data.

Was the child privately baptized Yes No

Is the child adopted? Yes No

Are the parents registered parishioners of our Collaborative? St. Martha, Plainville St. Mary, Wrentham No

Mother's Full Name REQUIRED Please fill out this field. Please enter valid data.

Mother's Full Maiden Name REQUIRED Please fill out this field. Please enter valid data.

Home 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.

Email Please enter an email address.

Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Cell Phone Number Please enter a phone number.

Is the mother Roman Catholic? REQUIRED Yes No Please fill out this field.

Father's Full Name REQUIRED Please fill out this field. Please enter valid data.

Is the father Roman Catholic? REQUIRED Yes No Please fill out this field.

Are the parents married to each other? REQUIRED Yes No Please fill out this field.

Are the parents validly married in the Catholic Church? REQUIRED Yes No Please fill out this field.

One Godparent MUST be a Confirmed Catholic. If choosing a second Godparent they can either be a Confirmed Catholic or a Baptized Christian.

Godmother's Name REQUIRED Please fill out this field. Please enter valid data.

Is the Godmother a Confirmed Catholic? REQUIRED Yes No Please fill out this field.

If not, what faith was she Baptized into? Please enter valid data.

Godfather's Name REQUIRED Please fill out this field. Please enter valid data.

Is the Godfather a Confirmed Catholic? REQUIRED Yes No Please fill out this field.

If not, what faith was he Baptized into? Please enter valid data.

Will either Godparent be represented by proxy? REQUIRED Yes No Please fill out this field.

Requested Date of Preparation Class REQUIRED Please fill out this field. Please enter valid data.

Parents and Godparents are required to attend a Baptism preparation class which is held on the first Sunday of each month at 11:00 am in the Conference room in St Mary's Rectory, Wrentham.

Please call the rectory at 508-384-3373 to register for the preparation class and to confirm your Baptism date.

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