Infant Baptismal Form

- Sacraments

If you have not set up a date for the Baptism with Krisi Christensen, please email her at pastoralministry@holyfamilyportland.com before filling out this form. Thank you.
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- Name of Person to be Baptized (First, Middle, Last) REQUIRED Please fill out this field. Please enter valid data.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Place of Birth (City, State) REQUIRED Please fill out this field. Please enter valid data.
- Date of Baptism REQUIRED
  If you have not set a date with Krisi or Father Rodel, please email pastoralministry@holyfamilyportland.com before completing this form. Thank you.
  Please fill out this field. Please enter valid data.
- Father's Full Name (First, Middle Last) REQUIRED Please fill out this field. Please enter valid data.
- Father's Religion REQUIRED Please fill out this field. Please enter valid data.
- Is he currently practicing this Religion? REQUIRED Yes No Please fill out this field.
- Mother's Maiden Name (First, Middle, Last) REQUIRED Please fill out this field. Please enter valid data.
- Mother's Religion REQUIRED Please fill out this field. Please enter valid data.
- Is she currently practicing this Religion? REQUIRED Yes No Please fill out this field.
- Godfather's Name (First, Middle, Last) REQUIRED Please fill out this field. Please enter valid data.
- Is he a practicing Catholic? REQUIRED Yes No Please fill out this field.
- Godmother's Name (First, Middle, Last) REQUIRED Please fill out this field. Please enter valid data.
- Is she a practicing Catholic? REQUIRED Yes No Please fill out this field.
- Parent's Marriage
  
  Date REQUIRED Please fill out this field. Please enter a date.
  
  Church REQUIRED Please fill out this field. Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
- Contact Information
  
  Home Parish REQUIRED
  Where are you currently Registered? If not registered at a Parish please enter N/A.
  Please fill out this field. Please enter valid data.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Home Mailing Address REQUIRED Please fill out this field. Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
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Holy Family Catholic Church

Archdiocese of Portland

Infant Baptismal Form