Baptism Form Home / Baptism Form Submit this form to register for a baptism at St. Joan of Arc Parish CompanyThis field is for validation purposes and should be left unchanged.Preferred Baptism DateDesired Baptism Date(Required) MM slash DD slash YYYY Location & Time(Required)During 4:00 PM Mass @ Lourdes CampusAfter 4:00 PM Mass @ Lourdes CampusDuring 4:30 PM Mass @ Vianney CampusAfter 4:30 PM Mass @ Vianney CampusDuring 8:00 AM Mass @ Lourdes CampusDuring 8:30 AM Mass @ Vianney CampusDuring 10:30 AM Mass @ Lourdes CampusAfter 10:30 AM Mass @ Lourdes CampusDuring 11:00 AM Mass @ Vianney CampusAfter 11:00 AM Mass @ Vianney CampusBaptismal Prep Class Date & Location:(Required)Which campus is your primary worship location?Our Lady of Lourdes CampusSt. John Vianney CampusAbout Your ChildChild's Name(Required) First Middle Last Child is:(Required)MaleFemaleDate of Birth(Required) MM slash DD slash YYYY Place of Birth: (City, State)(Required)Was the child privately baptized?(Required)NoYesWas the child adopted?(Required)NoYesFamily InfoFamily Address(Required) Street Address Address Line 2 City State 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 ZIP Code Your Email Address(Required) Email Address Confirm Email Address Your Phone(Required)Father's Full (Proper) Name:(Required)(as it should appear on baptismal certificate) First Middle Last Suffix Mother's Full (Proper) Name:(Required)(as it should appear on baptismal certificate) First Middle MAIDEN Suffix Father's Religion(Required)Mother's Religion(Required)Were the parents married by a Catholic priest?(Required)YesNoIn what church?(Required)Godparent/Christian Witness InfoGodfather's Full (Proper) Name:(Required) First Middle Last Suffix (as it should appear on baptismal certificate)Godmother's Full (Proper) Name:(Required) First Middle Last Suffix (as it should appear on baptismal certificate)Is Godfather qualified, practicing Catholic?(Required)YesNoIs Godmother qualified, practicing Catholic?(Required)YesNoIf either godparent will be represented by proxy, please indicate which godparent and the proxy’s name: