Baptism Instruction Registration

Baptsim Instruction Class

Please complete the registration form below and select the Baptism Instruction Class you would like to attend via a Zoom meeting.

First Name of Child Please enter valid data.

Middle Name of Child Please enter valid data.

Last Name of Child Please enter valid data.

Child to be Baptized Male Female

Date of Birth Please enter valid data.

City of Birth Please enter valid data.

State of Birth Please enter valid data.

Was Child Adopted? Yes No

Father's Name: First, Middle & Last REQUIRED Please fill out this field. Please enter valid data.

Father's Nickname Please enter valid data.

Mother's Name: First, Middle & Last REQUIRED Please fill out this field. Please enter valid data.

Mother's Maiden Name REQUIRED Please fill out this field. Please enter valid data.

Mother's Nickname Please enter valid data.

Street 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.

Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Email REQUIRED Please fill out this field. Please enter an email address.

Religion of Father REQUIRED Please fill out this field. Please enter valid data.

Religion of Mother REQUIRED Please fill out this field. Please enter valid data.

Are parents registered members of Good Shepherd?

One Godparent needs to be Catholic. In order to schedule your Baptism, Godparents' names must be given at the time of scheduling.

Godfather's FULL Name Please enter valid data.

Godfather's Religion Please enter valid data.

Godmother's FULL Name Please enter valid data.

Godmother's Religion Please enter valid data.

Has the child been privately baptized? REQUIRED Yes No Please fill out this field.

If yes, please indicate the date of private Baptism. Please enter valid data.

Select the Baptism Instruction date you would like to attend. REQUIRED Sun., Nov. 5, 2023 Sun., Dec. 3, 2023 Sun., Jan. 7, 2024 Sun., Feb. 4, 2024 Sun., March 3, 2024 Sun., April 7, 2024 Sun., May 5, 2024 Sun., June 2, 2024 Please fill out this field.

To schedule a Baptism date, please contact Jayne LoConti in the parish office at 513-489-8815 ext. 761.

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INFORMATION BELOW TO BE COMPLETED BY
PARISH OFFICE STAFF ONLY:

Date of Baptism: Please enter valid data.

Baptism Presider: Please enter valid data.

Confirmed Call: Please enter valid data.