St. Agnes Altar Server Application

Baptism Registration

Parish(Required)

St. Agnes

St. Mary

Child’s Name(Required)

First Last

Date of Birth(Required)

Place of Birth(Required)

Mailing Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Father's Name(Required)

First Last

Mother's Name(Required)

First Last

Mother's Maiden Name(Required)

Parents' Email(Required)

Phone(Required)

Religion of Father(Required)

Religion of Mother(Required)

Expected Date of Baptism(Required)

Note

One godparent must be Roman Catholic and Confirmed. The other godparent may be a baptized Christian, and serve as a Christian Witness. If the second godparent is Catholic, they must also be Confirmed. You may have two godparents, but one is also permissible. It is customary to provide a sponsor certificate for the Roman Catholic godparents; this can be obtained from their local parish.

Godfather’s Name(Required)

First Last

Religion of Godfather(Required)

Godmother’s Name(Required)

First Last

Religion of Godmother(Required)

Add Your Email

Name(Required)

Email(Required)

Mailing Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Envelope Number

Military Member Addition

Your Name(Required)

First Last

Your Email(Required)

Military Member's Name(Required)

First Last

Military Member's Title(Required)

St. Agnes Altar Server Application