Baptism Registration Form

You must be a parishioner FIRST before completing this form. If you are NOT registered with the church, click here to complete your registration before submitting the form below. Thank you.

Please complete the required fields below. Once the form is submitted, it cannot be altered online.
Call John Palma at the church office at 203 652-1140 with any changes.

 

Main
Full Name of Child:
  •  
Address:
  •  
Phone: --
  •  
Date of Birth: //
  •  
City & State of Birth:
  •  
Preferred Baptism Date: //
  •  
 Please note Baptisms take place almost every Sunday at 1:00 pm. A private baptism can be scheduled by calling the office as well.
Father's Full Name:
  •  
Father's Religion:
  •  
Father's E-mail Address:
  •  
Mother's First & Maiden Name:
  •  
Mother's Religion:
  •  
Mother's Email Address:
  •  
Parents Married by a Priest?
  •  
Full Name of Godfather:
  •  
Godfather's Religion:
  •  
Full Name of Godmother:
  •  
Godmother's Religion:
  •  
Is either Godparent represented by a Proxy?
  •  
Full Name of Proxy:
  •  
Is Proxy Standing in for Godfather or Godmother?
  •  
Was child privately baptized?
  •  
Is the child adopted?
  •