Baptism Registration Form

This form should be accompanied by a copy of the child’s birth certificate and filled out by parents with accurate information for sacramental record recording purposes.

Name of Child(Required)

First Middle Last

Sex of Child(Required)

Male

Female

Date of Birth/Due Date(Required)

Place of Birth(Required)

City State / Province / Region Country

Requested Date for Baptism (we will confirm once you submit registration form and documents).

Father's Full Name(Required)

First Middle Last

Religion of Father(Required)

Family Address(Required)

Street Address City State / Province / Region Country

Mother's Full Maiden Name(Required)

First Middle Maiden

Religion of Mother(Required)

Were Parents Married by a Catholic Priest/Deacon?(Required)

In what church were you married?

Name of Church Address City State ZIP / Postal Code Country

Are you a registered parishioner at Mary Our Queen?(Required)

If registered at another parish, permission from your Home Parish pastor must be obtained to do Baptism at MOQ

Name of Godfather

First Last

Religion of Godfather

Name of Godmother

First Last

Religion of Godmother

Was the Child Adopted?

Parent Signature(Required)

Primary Email for Correspondance(Required)

Media Release

I hereby grant permission for Mary Our Queen to use images of my child for internal or external communications.

Mary Our Queen uses images and videos of our children for a variety of internal and external communications. Our forms of internal and external communications include but are not limited to: print, such as newspapers, bulletins, and newsletters; photographs and digital images; film and videos; web posts, web pages, and image carousels.

Upload copy of Child's Birth Certificate and Letters of Good Standing (if you have them)

Max. file size: 200 MB.

Additional Requests/Information