Baptism Registration

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Baptism Registration Form

Congratulations on the upcoming baptism of your child!

Church Registration Form

Full Name of the Child (First, Middle, Last)

Gender

Male

Female

Residence Address

Telephone Number

Date of Birth

Place of Birth (Town, Hospital, State)

Place of Baptism:

Holy Rosary

St. John

St. Michael

Baptism:

During Mass (priest will do baptism)

After Mass

Preference of who does the Baptism?

Fr. Shawn Polman

Dcn. Paul Treinen

No Preference

Father's Full Name (first, middle, last)

Father's Religion & Current Parish

Mother's Full Maiden Name

Mother's Religion & Current Parish

Where & When did the parents attend a Baptism Class?

Where & When were the parents married?

Other siblings of the child:

Godparent Information

Godfather's Full Name

Godfather's Religion & Current Parish, including address:

Godmother's Full Name:

Godmother's Religion & Current Parish, including address:

Is either godparent represented by a proxy?

Yes

No

Full Name(s) of Proxy:

Was the child adopted?

Yes

No

Was the child privately baptized?

Yes

No

Additional Notes (If Applicable)

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We will get back to you as soon as possible

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Mass Schedule

Holy Rosary

511 Studdart Avenue

Graceville, MN 56240

St. Michael

412 West 3rd Street

Madison, MN 56256

St. John

421 Madison Avenue

Ortonville, MN 56278

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