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Baptism Registration Form

- Faith Formation
Contact Us
- Kathy Donahue
  
  Parish Secretary
  
  (859) 689-5010, ext 224
  kdonahueihm-ky.org

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- Children over 7 years of age must attend the Rite of Christian Initiation for Children. The point of contact is the pastor or director of religious education. We ask that you register as a member of the IHM parish if you are not already so registered. If this is your first child, or if it has been 5 years since you last attended our Pre-Baptism session, you need to attend the Baptism Preparation Program.
- Child's Information
  
  Use FULL, PROPER, GIVEN names for the child, parents and Godparents. Middle names are required for the child and parents. No nicknames.
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Middle Name REQUIRED Please fill out this field. Please enter valid data.
- Date of birth REQUIRED Please fill out this field. Please enter valid data.
- Place of birth REQUIRED
  Please enter the city and state of the child's birth (example: Edgewood, KY). If not USA, please enter the country name.
  Please fill out this field. Please enter valid data.
- Patron Saint of Child
  If you have a preferred patron saint for the child, enter that saint's name here.
  Please enter valid data.
- Parent's Information
- Email REQUIRED Please fill out this field. Please enter an email address.
- Father's Name REQUIRED
  Enter complete father's first, middle and last name. If there are questions, please contact the Parish Secretary.
  Please fill out this field. Please enter valid data.
- Father's Religion REQUIRED
  Please indicate the Religion of the father (i.e. Catholic, Baptist, Lutheran, etc.)
  Please fill out this field. Please enter valid data.
- Mother's Name REQUIRED
  Please enter the mother's first, middle, and last names.
  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 Religion: REQUIRED
  Please enter the religion of the mother (i.e. Catholic, Baptist, Lutheran, etc)
  Please fill out this field. Please enter valid data.
- Residential 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 Maximum 20 characters Please fill out this field. Please enter a phone number.
- Are the parents validily married? REQUIRED
  A Catholic party is bound to the Catholic form of marriage. This, in simplest terms, means that the marriage ceremony took place with a Catholic Priest or Deacon presiding. Contact us if you have any questions.
  Yes No Not Sure Please fill out this field.
- Date of Baptism Prep Session That You Will/Did Attend: (Everey other month: Jan, Mar, May, July, Sep, Nov)
  Enter month and year attended.
  Please enter valid data.
- Godparents
  
  One Godparent is required. If you have two, one must be male (godfather) and one female (godmother).
- Name of Godfather
  Confirmed, practicing Catholic over age 16)
  Please enter valid data.
- Name of Godmother Please enter valid data.
- Christian Witness
  If needed. This information is discussed during the pre-baptismal class.
  Please enter valid data.
- Requested Date for the Baptism (Note: This is requested, not guaranteed)
Submit

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Immaculate Heart of Mary
Parish

Burlington, Kentucky

Baptism Registration Form

Contact Us