Request for Baptism - St. Rita Catholic School and Parish

Welcome to St. Rita Catholic Church & School

Request for Baptism

Baptism Form:

CHILD INFORMATION

Please use full names only when completing this form -- no nicknames.

Name of Child to be Baptized:

Gender:

Male

Female

Date of Birth:

City & State of Birth:

PARENT INFORMATION

Father's First, Middle & Last Name :

Father's Religion:

Mother's First, Middle & Maiden Name:

Mother's Religion:

Street Address:

10.

City, State & Zip:

11.

Home Phone:

12.

Are you registered St. Rita Parishioners?

Yes

13.

Were you married by a Catholic priest?

Yes

BAPTISM CLASS SIGN-UP

Parents are required to take a Baptismal Preparation Class prior to setting the date and time for the Baptism. Classes are offered on the third Wednesday of the month at 7:00 pm in the nursery and last about one hour.

14.

Please sign up for one of the following Baptism classes:

(1 required)

	November 18, 2009			December 16, 2009
	January 20, 2010			February 17, 2010
	March 17, 2010			April 21, 2010

15.

Questions/comments/concerns:

You will receive an email confirmation that we have received your information. We will give you a reminder call the week of the Baptism class. Thank you!

* Enter Your Email Address:

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