Baptism Request Form

Date requesting for Baptism*

Name*

First Middle Last

Child Gender*

Male

Female

Date of Birth*

Child's Place of Birth*

Father's Full Name*

Father's Religion*

Chaldean Catholic

Latin Catholic

Orthodox

Other Catholic

Other

Mother's First Name and Maiden Last Name*

Please type mother's full name with her maiden last name here.

Mother's Religion*

Chaldean Catholic

Latin Catholic

Orthodox

Other Catholic

Other

Family Address*

Street Address Address Line 2 City State ZIP Code

Primary Phone of family requesting Baptism*

Primary mail address of family requesting Baptism*

Godfather Name

Godfather must be 14 years of age or older.* Please Note: A non-baptized Christian CANNOT be a Godparent and one of the Godparents MUST be Catholic

Date of Birth - Godfather

Godmother Name

Godmother must be 14 years of age or older.* Please Note: A non-baptized Christian CANNOT be a Godparent and one of the Godparents MUST be Catholic

Date Of Birth - Godmother

Please Note: A non-baptized Christian CANNOT be a Godparent and one of the Godparents MUST be Catholic.
*Also, a Godparent must not be less than fourteen years of age, unless the pastor or the minister of the sacrament considers that there is a just reason for an exception to be made. This is written in the sacramental policies which could be found on the link below...

Diocesan Sacramental Policies

If either parent is a non-Chaldean Catholic - Is it your desire to have your child formally be a part of the Chaldean Catholic Church

Yes

If No please explain below*

Birth Certificate Upload

If you can upload your child's birth certificate in advance this would be helpful.

Max. file size: 32 MB.

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Parish Info

Parish Info

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