St. Aloysius Gonzaga Catholic Church

St. Aloysius Gonzaga Catholic Church 22800 Washington Street * P. O. Box 310 Leonardtown, Maryland 20650 Baptism Registration Form (Please type or print. Mail completed form to the rectory)

Name of Child: ______Residence: ______Telephone #: ______Date of Birth: ______Place of Birth: ______Requested Date of Baptism: ______(Please Note: Prior to the celebration of Baptism, parents are to participate in a baptism preparation class. Classes are held every other month on the 3rd Tuesday of the month at 7 pm, September-June. Baptisms are regularly celebrated on Sunday afternoons after the 11:00 am Mass – please call the rectory for special requests. Please do not announce date until after speaking with the office.) Father’s Name: ______Religion of Father: ______Mother’s Maiden Name: ______Religion of Mother: ______Were Parents Married by a Catholic Priest? ______Godfather’ Name: ______(Please Note: One Godparent must be a practicing Catholic. The other may be a practicing Christian of another denomination.)

Is Godfather a Catholic? ______Godmother’s Name: ______Is Godmother a Catholic? ______Will either Godparent be represented by a Proxy? ______Name of Proxy: ______Was the child privately baptized? ______Was the child adopted? ______Office Use Only: Name of Priest: ______