Registration for Baptism Form

Please submit this form no later than two months prior to the actual baptism. Please use FULL Christian names (not nicknames) when completing this form. Questions? Please contact the parish office at 517-351-7215.

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 Age REQUIRED Please fill out this field. Please enter valid data.

Child's Date of Birth (Month Day Year) REQUIRED Please fill out this field. Please enter valid data.

Child's City and State of Birth REQUIRED Please fill out this field. Please enter valid data.

Child Resides With REQUIRED Please fill out this field. Please enter valid data.

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

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

Father's Middle Name Please enter valid data.

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

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

Email Please enter an email address.

Father's Phone Number REQUIRED Please fill out this field. Please enter valid data.

Father's Address if Residing Separately Please enter valid data.

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

Mother's Middle Name Please enter valid data.

Mother's Maiden Name Please enter valid data.

Mother's Last Name (If different than Father's Last Name) Please enter valid data.

Mother's Religion 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.

Mother's Phone Number REQUIRED Please fill out this field. Please enter valid data.

Email REQUIRED Please fill out this field. Please enter an email address.

Registered Parishioners of (Parish Name, City and State) REQUIRED Please fill out this field. Please enter valid data.

Is Your Marriage Recognized by the Catholic Church? REQUIRED Yes No Please fill out this field.

Date of Marriage (Month Date Year) Please enter valid data.

Parish Name, City and State of Marriage REQUIRED Please fill out this field. Please enter valid data.

Pre-Requisites for Baptism*

IN ORDER TO RECEIVE BAPTISM FOR YOUR CHILD AT OUR PARISH, AT LEAST ONE PARENT/GUARDIAN MUST BE REGISTERED AS A PARISHIONER AT OUR PARISH AT LEAST TWO MONTHS BEFORE THE ACTUAL BAPTISM DATE.
 
IF YOU ARE NOT REGISTERED, YOU CAN GO TO ELCATHOLICS.ORG/PARISHIONER-REGISTRATION TO REGISTER. IF YOU ARE NOT SURE, PLEASE CALL OUR PARISH OFFICE AT 517-351-7215 DURING NORMAL BUSINESS HOURS TO SEE IF WE HAVE YOU REGISTERED.

At least one parent/guardian is registered REQUIRED Yes No Please fill out this field.

Godmother's Full Name (First Middle Last) REQUIRED Please fill out this field. Please enter valid data.

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

What Parish Does Godmother Attend (Parish Name, City and State)? REQUIRED Please fill out this field. Please enter valid data.

Godfather's Full Name (First Middle Last) REQUIRED Please fill out this field. Please enter valid data.

Is Godfather Catholic? Yes No

What Parish Does Godfather Attend (Parish Name, City and State)? REQUIRED Please fill out this field. Please enter valid data.

Christian Witness (In place of one Godparent) REQUIRED Please fill out this field. Please enter valid data.

What Christian Church Does Your Witness Attend (Church Name, City and State)? REQUIRED Please fill out this field. Please enter valid data.

Preparation needs to take at least one month prior to the Baptism. The Parents' Baptism Seminar is a preparation for parents who are expecting a child or have young children to present for Baptism. We will present the theological and historical, as well as the practical aspects of Baptism. Our program is based on the "Belonging" Series by Fr Mike Schmitz and Ascension Press, and is a well done and entertaining look at the importance of Baptism and your role as a parent / guardian and primary faith-formator.

Would You Like to REQUIRED Participate in an online course I have previously completed the baptism course Please fill out this field.