"*" indicates required fields 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 AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Primary Phone of family requesting Baptism*Primary mail address of family requesting Baptism* Godfather NameGodfather 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 CatholicDate of Birth - Godfather Godmother NameGodmother 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 CatholicDate 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 PoliciesIf 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 No If No please explain below*Birth Certificate UploadIf you can upload your child's birth certificate in advance this would be helpful.Max. file size: 256 MB.
