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Baptismal Registration

- About

Congratulations on the birth of your child!

Follow these steps to set your child’s baptismal date.

Complete this form at least two weeks prior
to your child’s baptismal date.
Step 1
Call the appropriate parish office to set the baptismal date.
- St. Patrick, St. Mark, & Sacred Heart: 563-928-7200
- St. Mary Parish: 563-933-6166
- St. Joseph Parish: 563-245-2548
Step 2

If you are not a registered parishioner in our Pastorate, please complete a parish registration form prior to the baptism.

If you are a member of another parish, please request a letter from your pastor giving written permission allowing us to baptize your child.
Step 3
The maximum number of form submissions has been reached. This form is currently not available.
- Complete this form.
- Parent's Information
  
  Parish where the baptism will take place: REQUIRED
  Please choose one.
  Please fill out this field.
  
  Baptism class completed: REQUIRED Please fill out this field.
  
  Date of Baptism Class Please enter valid data.
- Child's Information
  
  Child's Name (First, Middle, Last) REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Please fill out this field.
  
  Address (Street, City, State, Zip) REQUIRED Please fill out this field. Please enter valid data.
  
  Phone Number REQUIRED Please fill out this field. Please enter a phone number.
  
  Date & Place of Birth REQUIRED Please fill out this field.
  
  Baptismal Date REQUIRED Please fill out this field. Please enter a date.
  
  Father's Name (First & Last) REQUIRED Please fill out this field. Please enter valid data.
  
  Father's Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Mother's Name (First, Maiden, Last) REQUIRED Please fill out this field. Please enter valid data.
  
  Mother's Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Godfather's Name (First & Last) REQUIRED Please fill out this field. Please enter valid data.
  
  Is the Godfather an active Catholic? REQUIRED Please fill out this field.
  
  If not, what is his religion? Please enter valid data.
  
  Godmother's Name (First & Last) REQUIRED Please fill out this field. Please enter valid data.
  
  If not, what is her religion? Please enter valid data.
  
  Is either godparent represented by proxy? REQUIRED Please fill out this field.
  
  If yes, what is the proxy's name? Please enter valid data.
  
  Was the child privately baptized? REQUIRED Please fill out this field.
  
  Was the child adopted? REQUIRED Please fill out this field.
  
  Number of guests expected (for pew reservation) Please enter an integer (number).
Submit

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Please Take Note
- On the date of the baptism, please arrive at church at least 15 minutes prior to Mass.
- Invite your guests to sit in the reserved seating, leaving the first pew open for parents and sponsors.
- The child’s family and sponsors will be a part of the Entrance Procession at the start of Mass.
- Please inform your family members that flash photography is not allowed during baptisms.

Baptismal Registration

Congratulations on the birth of your child!

Follow these steps to set your child’s baptismal date. Complete this form at least two weeks prior to your child’s baptismal date.

Follow these steps to set your child’s baptismal date.

Complete this form at least two weeks prior
to your child’s baptismal date.