Baptism Registration


Baptism Registration

Child's Full Name*
(Select one)*
Father's Full Name:*
Mother's Full Name*
Mother's Maiden Name:*
City and State of Child's Birth*
Date of Child's Birth*

*Date of Baptism ____________________________________

*Please call Parish Office at 417-887-6472 to Schedule Baptism

Godfather*
Confirmed, practicing Catholic?*
Godmother*
Confirmed, practicing Catholic?(1)*
If either Godparent will be represented by a proxy, please give name of Proxy
Proxy standing in for

Baptism performed by ______________________________


Address:*
Phone:*
-
Was the child privately baptized?
Was the child adopted?
Religion of Father*
Religion of Mother*
Do parents have a valid Catholic marriage?*
Are you registered in the parish?*

******For Office Use Only******

Baptism Class Attended:

_______ Certificate Mailed _____________________________

_______ Register # _______ (Vol.) _______ (Pg.) _______ (No.)

_______ Name in Register Index

_______ Census Updated

_______ Sacramental Register

Baptism Registration

Child's Full Name*
(Select one)*
Father's Full Name:*
Mother's Full Name*
Mother's Maiden Name:*
City and State of Child's Birth*
Date of Child's Birth*

*Date of Baptism ____________________________________

*Please call Parish Office at 417-887-6472 to Schedule Baptism

Godfather*
Confirmed, practicing Catholic?*
Godmother*
Confirmed, practicing Catholic?(1)*
If either Godparent will be represented by a proxy, please give name of Proxy
Proxy standing in for

Baptism performed by ______________________________


Address:*
Phone:*
-
Was the child privately baptized?
Was the child adopted?
Religion of Father*
Religion of Mother*
Do parents have a valid Catholic marriage?*
Are you registered in the parish?*

******For Office Use Only******

Baptism Class Attended:

_______ Certificate Mailed _____________________________

_______ Register # _______ (Vol.) _______ (Pg.) _______ (No.)

_______ Name in Register Index

_______ Census Updated

_______ Sacramental Register

Get In Touch

2200 W. Republic Rd.
Springfield, MO 65807

417-887-6472

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Parish Registration Form

Mass Times

Saturday: 4:30 PM

Sunday: 7:30 AM, 9:00 AM & 11:15 AM

Monday & Tuesday: 6:30 AM & 8:30 AM

Wednesday: 6:30 AM & 6:00 PM

Thursday & Friday: 6:30 AM & 8:30 AM