Saint Mary of the Immaculate Conception Parish

Saint Mary of the Immaculate Conception Parish Faith Formation Office • 330-264-5838

Pre-Baptismal Registration Form

______Mother’s Last Name First Middle Maiden

______Father’s Last Name First Middle

______Mailing Address City State Zip Code

______Main Phone Alternate phone number

______Email Address

Mother’s religion______Father’s religion ______

Child’s Birthdate or Due Date ______Place of Birth______If already born ______Child’s Last Name First Middle

Marriage History Please check ( ) ALL that apply and fill in the blank with which person it applies to:  We are married.  We are not married.  I am a single parent.  I am divorced and remarried. ______ I was previously married. ______ I am widowed or a widower.

If married, date of marriage ______Minister ______mm/dd/yyyy Name of priest, minister or civil official

Place of marriage ______Name of church or place Location

Church Membership Are you registered here at St. Mary? □Yes □No Have you ever been a member of another church? □Yes □No If yes, please list the Church and location:

______Church City State Saint Mary of the Immaculate Conception Parish Faith Formation Office • 330-264-5838

Pre-Baptismal Class Have you attended a Pre-Baptismal Class at Saint Mary’s in the last three years? □Yes □No If no, but you have attended a class elsewhere; please provide information about your last class. Catholic Parish______Date:______If you have never attended a class, or have not attended a class in the last three years, classes are offered four times a year. (February, May, August and November)

Godparents/Christian Witness- (If already chosen, please list. If not, you can provide that information after the Pre-Baptismal Preparation Class). If choosing prior to class, please make sure you have reviewed all guidelines provided and that the Godparents you have chosen are practicing Catholics in good standing.

Godmother’s name ______Godfather’s name ______

Phone number ______Phone number ______

If applicable: Christian Witness______Phone Number______

Other Children Do any of your children require Sacramental preparation? Yes / No (please make  in  left of name)

 ______(first name) (middle name) (last name) (date of birth) (age) (school) (grade) This child has received:  Baptism  Reconciliation  First Eucharist  Confirmation

Pre-Baptismal Preparation Questionnaire

As much as you are comfortable, please describe your faith journey up to this point- Saint Mary of the Immaculate Conception Parish Faith Formation Office • 330-264-5838

Mother-

Father-

In regards to faith, what do you as parents, desire for your child?

What does Baptism mean to you?

Briefly describe why you desire Baptism for your child?

Have you chosen godparents? If so, what is your relationship to them and what are some reasons you chose these godparents?

*When completed, please return the Pre-Baptismal Registration Form and Questionnaire to the Faith Formation Office. Any questions, please call 330-264-5838.